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目的:观察并分析头孢曲松钠诱发假性胆结石的超声声像图表现。方法:对2012年5月至2015年1月间、在本院静脉使用头孢曲松钠后误诊为胆囊结石的38例患者进行彩色多普勒彩色检查,观察患者临床表现、影像学声像图及相关处理结果。结果:38例患者中,小儿肺炎患者2例,肺部感染患者19例,尿路感染患者14例,糖尿病足患者3例。小儿肺炎超声图像显示胆囊内絮状高回声,肺部感染患者超声图像显示胆囊内多个大小不等的强回声团伴声影,尿路感染患者超声图像显示胆囊壁细小光点堆积,糖尿病足患者超声图像显示胆囊腔内泥沙点状强回声群。结论:头孢曲松钠诱发的假性胆结石为可逆性结石,如未引起胰腺炎等严重并发症,则无需采取外科手术和长期结石药物治疗。
Objective: To observe and analyze cephalosporin sodium-induced pseudo-gallstone ultrasonography. Methods: Thirty-eight patients who were misdiagnosed as gallstone after intravenous ceftriaxone sodium in our hospital from May 2012 to January 2015 were examined by color Doppler, and their clinical manifestations, imaging sonography And related processing results. Results: Of the 38 patients, 2 were pneumonia in children, 19 were pulmonary infection, 14 were urinary tract infections and 3 were diabetic foot. Ultrasound images of children with pneumonia in the cystic flocculus hyperechoic, pulmonary infection in patients with ultrasound images of multiple sizes of strong echo group echo in the gallbladder, urinary tract infection in patients with ultrasonographic gallbladder wall shows the accumulation of small light spots, diabetic foot The patient’s ultrasound image showed a punctate hyperechoic group in the cystic cavity. Conclusion: Ceftriaxone sodium-induced pseudo-gallstones are reversible stones, without causing serious complications such as pancreatitis, you do not need to take surgery and long-term stone drug treatment.