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本书分为超声总论,新生儿颅脑超声检查,超声心动图检查,常见颈部、四肢血管疾病的超声检查,消化系统超声检查,泌尿系统超声检查,妇产科超声检查,男性生殖系统超声检查,浅表器官超声检查,其他部位的超声检查等章节,同时根据超声成像技术近年来的新发展,介绍了介入性超声及超声造影成像技术的内容。
梁伟翔,男,主任医师,医学硕士,医院超声医学科副主任,广东省医师协会超声医师分会常务委员
章 总论 ................................................. 1
一、超声波的概念 ...................................... 1
二、超声诊断仪 ......................................... 1
三、超声生物学效应 ................................... 2
四、超声伪像 ............................................ 3
五、多普勒超声 ........................................ 10
第二章 新生儿颅脑超声检查 ................. 11
节 新生儿颅脑超声检查方法 ............ 11
一、仪器选择 ........................................... 11
二、检查前准备 ........................................ 11
三、检查内容 ........................................... 11
四、适应证 ............................................... 12
第二节 正常头颅超声表现 ........................ 12
一、经前囟做冠状面扫查 ........................... 12
二、经前囟做矢状面扫查 ........................... 15
三、颞囟扫查 ........................................... 18
四、后囟扫查 ........................................... 18
第三节 常见疾病的超声诊断 .................... 18
一、颅内出血 ........................................... 18
二、缺氧缺血性脑病 .................................. 22
三、脑室周围白质软化 ............................... 23
四、脑积水 ............................................... 25
五、化脓性脑膜炎 ..................................... 26
第三章 超声心动图检查 .......................... 28
节 超声心动图的检查方法 ................ 28
一、检查途径 ........................................... 28
二、检查前准备 ........................................ 28
三、检查体位 ........................................... 28
四、检查内容 ........................................... 29
五、适应证 ............................................... 29
六、超声心动图新技术 ............................... 29
第二节 正常超声心动图表现 .................... 30
第三节 心脏瓣膜病变 ............................... 39
一、风湿性心脏病 ..................................... 39
二、二尖瓣脱垂 ........................................ 48
三、感染性心内膜炎 .................................. 50
四、老年瓣膜退行性变 ............................... 52
第四节 先天性心脏病 ............................... 54
一、房间隔缺损 ........................................ 54
二、室间隔缺损 ........................................ 56
三、动脉导管未闭 ..................................... 58
四、法洛四联症 ........................................ 60
第五节 原发性心肌病 ............................... 63
一、扩张型心肌病 ..................................... 63
二、肥厚型心肌病 ..................................... 65
三、限制型心肌病 ..................................... 68
四、致心律失常性右心室心肌病 .................. 69
第七节 心包积液 ....................................... 73
第四章 颈部、四肢血管超声检查 ................. 76
节 颈部、四肢血管超声检查方法 ..... 76
一、仪器 .................................................. 76
二、检查准备 ........................................... 76
三、观察和分析内容 .................................. 76
第二节 颈部、四肢血管正常声像图 ......... 77
第三节 常见颈部、四肢血管疾病的超声
表现 ............................................... 77
一、动脉粥样硬化 ..................................... 77
二、动脉瘤 ............................................... 79
三、锁骨下动脉盗血综合征 ........................ 81
四、颈动脉扭曲 ........................................ 81
五、静脉血栓 ........................................... 83
六、动静脉瘘 ........................................... 85
七、主动脉夹层 ........................................ 85
第五章 消化系统超声检查 ...................... 88
节 肝脏、胆囊、胰腺、脾脏超声
检查方法 ....................................... 88
一、仪器条件 ........................................... 88
二、检查前准备 ........................................ 88
三、检查体位 ........................................... 88
四、超声检查内容 ..................................... 88
第二节 正常肝脏、胆囊、胰腺、脾脏
超声表现 ....................................... 89
一、肝脏 .................................................. 89
二、胆囊 .................................................. 90
三、胰腺 .................................................. 90
四、脾脏 .................................................. 90
第三节 常见肝脏疾病的超声表现 ............ 91
一、弥漫性肝疾病 ..................................... 91
二、肝脏局灶性病变 .................................. 94
第四节 常见胆囊及胆道疾病的超声表
现 ................................................ 104
一、胆囊结石 ......................................... 104
二、急性胆囊炎 ...................................... 106
三、慢性胆囊炎 ...................................... 107
四、胆囊息肉样病变 ................................ 109
五、胆囊癌 ............................................. 110
六、胆管结石 ......................................... 112
第五节 常见胰腺疾病的超声表现 .......... 113
一、急性胰腺炎 ...................................... 113
二、慢性胰腺炎 ...................................... 115
三、胰腺癌 ............................................. 117
第六节 常见脾脏疾病的超声表现 .......... 119
一、脾大 ................................................ 119
二、脾外伤 ............................................. 121
第二节 体表及软组织肿瘤 ...................... 293
一、脂肪瘤 ............................................. 293
二、腹股沟斜疝 ...................................... 294
三、腘窝囊肿 ......................................... 295
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