中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2010年
8期
20-21
,共2页
武兵兵%李得溪%杨舟%乔建梁%郑俊全%王勇%王琦%谭福勇%吕飞飞%张俊晶
武兵兵%李得溪%楊舟%喬建樑%鄭俊全%王勇%王琦%譚福勇%呂飛飛%張俊晶
무병병%리득계%양주%교건량%정준전%왕용%왕기%담복용%려비비%장준정
腹腔积液%腹部损伤%超声检查
腹腔積液%腹部損傷%超聲檢查
복강적액%복부손상%초성검사
Peritoneal effusion%Abdominal injuries%Ultrasonography
目的 探讨急诊超声检测腹腔积液在腹部闭合性损伤诊疗中的意义.方法 回顾性分析2006年8月至2009年6月就诊的212例腹部闭合性损伤患者的临床资料,系统评估急诊超声检测腹腔积液出现情况.结果 212例患者中,腹腔积液出现率为78.8%(167/212),同期常规行诊断性腹腔穿刺的阳性率为46.2%(98/212).床头超声随访,13例空腔脏器破裂和1例肾破裂患者出现腹腔积液.17例超声随访发现腹腔积液量增加.超声检查有腹腔积液患者,实质脏器损伤定位符合率为78.3%(112/143),空腔脏器损伤定位符合率为36.1%(13/36).结论 在腹部闭合性损伤诊疗过程中,常规应用超声检测腹腔积液,可有效降低漏诊率,避免延误治疗.
目的 探討急診超聲檢測腹腔積液在腹部閉閤性損傷診療中的意義.方法 迴顧性分析2006年8月至2009年6月就診的212例腹部閉閤性損傷患者的臨床資料,繫統評估急診超聲檢測腹腔積液齣現情況.結果 212例患者中,腹腔積液齣現率為78.8%(167/212),同期常規行診斷性腹腔穿刺的暘性率為46.2%(98/212).床頭超聲隨訪,13例空腔髒器破裂和1例腎破裂患者齣現腹腔積液.17例超聲隨訪髮現腹腔積液量增加.超聲檢查有腹腔積液患者,實質髒器損傷定位符閤率為78.3%(112/143),空腔髒器損傷定位符閤率為36.1%(13/36).結論 在腹部閉閤性損傷診療過程中,常規應用超聲檢測腹腔積液,可有效降低漏診率,避免延誤治療.
목적 탐토급진초성검측복강적액재복부폐합성손상진료중적의의.방법 회고성분석2006년8월지2009년6월취진적212례복부폐합성손상환자적림상자료,계통평고급진초성검측복강적액출현정황.결과 212례환자중,복강적액출현솔위78.8%(167/212),동기상규행진단성복강천자적양성솔위46.2%(98/212).상두초성수방,13례공강장기파렬화1례신파렬환자출현복강적액.17례초성수방발현복강적액량증가.초성검사유복강적액환자,실질장기손상정위부합솔위78.3%(112/143),공강장기손상정위부합솔위36.1%(13/36).결론 재복부폐합성손상진료과정중,상규응용초성검측복강적액,가유효강저루진솔,피면연오치료.
Objective To discuss the diagnostic value of peritoneal effusion detection by emergency-ultrasound in patients with closed abdominal injury. Method From August 2006 to June 2009,212 patients with closed abdominal injury were studied to evaluate peritoneal effusion detection by emergency ultrasound. Results of 212 patients,peritoneal effusion frequency rate was 78.8%( 167/212), meanwhile,abdominal paracentesis confirmation ratio was only 46.2%(98/212). In the follow-up, 13 patients with injuried hollow viscera and 1 patient with rupture of kidney showed peritoneal effusion. The volume of abdominal fluid was increasing in 17 patients,which needed to be managed by surgery. The accuracy rates were respectively 78.3%( 112/143) and 36.1%(13/36) in the solid organs and the hollow organs. Conclusion During the course of diagnosis and treatment in closed abdominal injury,peritoneal effusion monitoring by ultrasound should be used routinely, which can help to decrease the rate of misdiagnosis and avoid delayed treatment.
