超声在地震伤员急救中的地位与作用
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摘要
目的评价超声在汶川大地震紧急救援中的地位与作用。方法回顾性分析地震发生后1周内经超声检查,并经手术、CT、随访等证实的1275例病例的临床资料。结果1275例地震伤患者中肝挫裂5例,脾破裂7例,胰腺挫伤1例,肾挫裂伤4例,胃肠及系膜动脉病变7例,膈疝1例,腹股沟疝2例,膀胱破裂4例,盆腹腔积液51例,胸腔积液36例,阑尾炎2例,阴茎睾丸损伤7例,皮下及肌肉层血肿3例。结论超声在地震伤后有利于伤员快速筛查,判断胸腹腔游离液体和腹腔脏器损伤特异性较高,利于地震伤的及时准确诊断和治疗方式的选择。
Objective To evaluation the role of ultrasonography in emergercy medical rescue at Wenchuan earthquake.Methods To retrospectively analyze of 1275 patients by ultrasonography within 1 week after the earthquake.Results Among the 1275 patients,5 cases was diagnosed as liver laceration,7 cases as spleen rupture,1 case as pancreas contusion,4 cases as renal contusion,7 cases as gastrointestinal and mesangial arterial disease,1 case as diaphragmatic hermia,2 cases as inguinal hermia,4 cases as bladder rupture,51 cases as pelvic or abdominal effusion,36 cases as pleural effusion,2 cases as appendicitis,7 cases as testicular and penis injury and 3 cases as subcutaneous and muscle layer hematoma. Conclusions Ultrasonography help to rapid screening the injured after earthquake.
Objective To evaluation the role of ultrasonography in emergercy medical rescue at Wenchuan earthquake.Methods To retrospectively analyze of 1275 patients by ultrasonography within 1 week after the earthquake.Results Among the 1275 patients,5 cases was diagnosed as liver laceration,7 cases as spleen rupture,1 case as pancreas contusion,4 cases as renal contusion,7 cases as gastrointestinal and mesangial arterial disease,1 case as diaphragmatic hermia,2 cases as inguinal hermia,4 cases as bladder rupture,51 cases as pelvic or abdominal effusion,36 cases as pleural effusion,2 cases as appendicitis,7 cases as testicular and penis injury and 3 cases as subcutaneous and muscle layer hematoma. Conclusions Ultrasonography help to rapid screening the injured after earthquake.
引文
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[2]张惠英,宋林英.超声对外伤引起内脏损伤的观察与诊断[J].职业与健康,2004,20(8):123.
[3]高怡,任喜来,黄金华.B超检查腹部钝性闭合伤的诊断价值[J].临床超声医学杂志,1998,9(4):250.
[4]李国杰,周永昌.急诊超声对钝性废部刨伤的内脏破裂出血的研究[J].国超声医学杂志,2002,18(1):29-33.
[5]杨常平,邱翠惠.急性创伤性膈疝39例诊治体会[J].右江医学,2001,29(6):474-475.
[6]Kim S,Linden B,Cendronm,et al.Pediatric anorectal impalement-with bladder rupture:case reportand review of the literature[J].JPediatr Surg,2006,41(9):E1-E3.
[7]Tauber M,Joosh,Karpik S,etal.Urogenital injuries accompanyingpelvicringfractures[J].Unfallchirurg,2007,110(2):116-123.
[8]Maos U,McFetridge EM.Traumatic qppendititis[J].Am J Surg,1985,30:478-482.
[9]邓兆平.腹部外伤后急性阑尾炎2例报道[J].腹部外科杂志,1998,1(2):78.
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