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超声诊断腹主动脉壁间血肿1例

Journal of Clinical Ultrasound in Medicine(2015)

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Abstract
患者男,74岁,发现上腹部包块3d.体格检查:上腹部可触及一包块,质硬,表面光滑,有波动感.超声检查:脐水平以下90 mm可见腹主动脉扩张,直径30~35 mm;管腔壁明显增厚,最厚处约25 mm,呈不均匀低回声,扩张腹主动脉内膜欠规则,与其上、下腹主动脉相延续,未见明显连续中断,腹主动脉管腔内径未见扩张;外膜连续性好(图1,2).腹主动脉管腔内血流信号充盈好,血流频谱形态及测值在正常范围内;增厚管壁内未见血流信号.超声诊断:腹主动脉壁间血肿.行CT血管成像及MRI证实.
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