急诊床旁超声检查在多发伤早期快速评估中的作用
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摘要
目的探讨急诊床旁超声检查(EBU)在多发伤早期快速评估中的作用。方法选取2017年1月至2018年12月我院急诊科收治的多发伤患者80例,采取必要的治疗措施后,根据患者病情需要分别采用螺旋CT检查和EBU,比较两种检查方法的检查耗时和检查结果。结果 EBU的检查总耗时明显短于螺旋CT检查(P <0.05)。EBU的敏感性、准确性、特异性分别为81.08%、 90.07%、 91.75%,与螺旋CT检查的88.24%、 89.41%、 95.37%比较均无统计学差异(P>0.05)。结论 EBU的检查耗时短、操作简便、准确性高,在患者床旁即可完成检查,可更直观地呈现患者的身体状态,在多发伤早期快速评估中具有积极的作用,值得进一步研究和推广。
Objective To explore the role of emergency bedside ultrasonography(EBU) in early rapid assessment of multiple injuries. Methods 80 cases of patients with multiple injuries admitted to our emergency department from January 2017 to December 2018 were selected. After taking the necessary treatment measures, spiral CT and EBU were used according to patients' needs. The examination time and examination results of the two methods were compared. Results The total examination time of EBU was significantly shorter than that of spiral CT(P <0.05). The sensitivity, accuracy and specificity of EBU were respectively 81.08%, 90.07% and 91.75%, which had no statistical differences with 88.24%, 89.41% and 95.37% of spiral CT(P >0.05). Conclusions EBU has short examination time, simple operation and high accuracy, completes at patients' bedside, can more intuitively present the physical condition of patients, and plays an active role in early rapid assessment of multiple injuries, which is worthy of further study and promotion.
Objective To explore the role of emergency bedside ultrasonography(EBU) in early rapid assessment of multiple injuries. Methods 80 cases of patients with multiple injuries admitted to our emergency department from January 2017 to December 2018 were selected. After taking the necessary treatment measures, spiral CT and EBU were used according to patients' needs. The examination time and examination results of the two methods were compared. Results The total examination time of EBU was significantly shorter than that of spiral CT(P <0.05). The sensitivity, accuracy and specificity of EBU were respectively 81.08%, 90.07% and 91.75%, which had no statistical differences with 88.24%, 89.41% and 95.37% of spiral CT(P >0.05). Conclusions EBU has short examination time, simple operation and high accuracy, completes at patients' bedside, can more intuitively present the physical condition of patients, and plays an active role in early rapid assessment of multiple injuries, which is worthy of further study and promotion.
引文
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[9]蒋慧蓉,石璐璐,田野,等.急诊床边超声在腹腔实质性脏器外伤诊断中的应用分析[J/CD].临床医药文献杂志(电子版), 2017, 4(14):2672.
[10]江从兵,曹灵红.连续心排血量监测技术血液流动力学监测联合床旁超声在重症急性胰腺炎中的应用[J].实用医院临床杂志, 2016,13(5):142-144.
[2]陈建军,邓义军,王琦,等.床旁超声在ICU重症患者多发伤合并胸部损伤中的诊断价值探讨[J].临床急诊杂志, 2018, 19(4):102-103.
[3]胡佳俊,黄秋萍.用改良的早期预警评分系统联合休克指数对接受院前急救多发伤患者的病情进行评估的效果探讨[J].当代医药论丛, 2017, 15(13):164-167.
[4]鞠萍,孙红光.急诊床旁超声心动图在心血管疾病诊断中的应用价值[J].中国循证心血管医学杂志, 2016, 8(7):820-822.
[5]杨宁,姚远,施建国,等.床旁超声在胸部钝性伤致隐匿性心脏压塞多发伤救治中的价值[J].中华创伤杂志, 2017, 33(12):1148-1150.
[6]潘月娜,孟凡龙,钱福禄.急重症心血管疾病中应用急诊床旁超声心动图的价值[J].中国实用医药, 2016, 11(4):52-53.
[7]何安霞,陆美娟,陶炜伟,等.急诊床旁超声心动图在心脏骤停诊治中的临床价值[J].肿瘤影像学, 2016, 25(4):327-330.
[8]付黎明,王华.床旁超声对急诊重症监护病房机械通气合并气胸患者的应用价值[J].临床荟萃, 2018, 33(2):157-159.
[9]蒋慧蓉,石璐璐,田野,等.急诊床边超声在腹腔实质性脏器外伤诊断中的应用分析[J/CD].临床医药文献杂志(电子版), 2017, 4(14):2672.
[10]江从兵,曹灵红.连续心排血量监测技术血液流动力学监测联合床旁超声在重症急性胰腺炎中的应用[J].实用医院临床杂志, 2016,13(5):142-144.