CAJ | 학술논문

目的阐述超声影像技术在特大地震伤员的诊断分型和并发症预防及治疗方面的应用价值.方法将超声会诊的743例地震伤员分为四类,即胸腔伤、腹腔伤、四肢血管伤和挤压伤,按入院时间分为两个阶段并对资料进行分析.结果 743例伤员中,有218例出现超声影像学异常,阳性率为29.3%.按损伤类型发病率由高到低排序,第一阶段依次为挤压伤类血肿＞胸腔积液(血)＞脾破裂＞肝破裂＞四肢血管损伤＞肾损伤＞肠管破裂及挤压综合征伴肾功能衰竭,第二阶段挤压伤类血肿＞胸腔积液(血)＞四肢血管损伤＞挤压综合征伴肾功能衰竭＞脾破裂＞肾损伤＞肝破裂.结论地震常造成全身多器官损伤;超声在分析地震伤方面起着非常重要的作用.
목적 천술초성영상기술재특대지진상원적진단분형화병발증예방급치료방면적응용개치.방법 장초성회진적743례지진상원분위사류,즉흉강상、복강상、사지혈관상화제압상,안입원시간분위량개계단병대자료진행분석.결과 743례상원중,유218례출현초성영상학이상,양성솔위29.3%.안손상류형발병솔유고도저배서,제일계단의차위제압상류혈종＞흉강적액(혈)＞비파렬＞간파렬＞사지혈관손상＞신손상＞장관파렬급제압종합정반신공능쇠갈,제이계단제압상류혈종＞흉강적액(혈)＞사지혈관손상＞제압종합정반신공능쇠갈＞비파렬＞신손상＞간파렬.결론 지진상조성전신다기관손상;초성재분석지진상방면기착비상중요적작용.
Objective To investigate the application value of uItrasonography in the classifying patients,preventing and treating the major earthquake-induced complications.Methods Seven hundred and forty-three patients were divided into four sorts by region of injuries:thoracic cavity,abdominal cavity,blood vessels of limbs and crush.According to the admission time,there were two phases and the data was analyzed respectively.Results Abnormal ultrasonic image was found in 218 of all patients,with positive ratio 29.3%.In the first phase,the morbidity of crush-induced hematoma was the highest,followed by pleural effusion,spleen rupture,liver fracture,injury of blood vessels,renal damage,intestinal rupture and crush syndrome with renal failure.Compared with that of the first phase,the morbidity of the injury of blood vessels and crush syndrome with renal failure increased in the second phase.Conclusions It was important to analyze the earthquake-induced injury because the major earthquake often cause the damage of multiple organs.