CAJ | 학술논문

[目的]探讨床旁B超在重度烧伤并发胸腔积液的临床应用价值.[方法]对17例重度烧伤出现了胸闷、气促及不能解释的低氧血症患者作床旁超声检查.根据胸腔液体前后径＜3 cm者为少量积液,3.0～6.0 cm为中量积液,6 cm以上为大量积液.临床抽出胸水少于200 mL为少量积液,200～600 mL为中量积液,600 mL以上为大量积液.对确诊为中至大量胸腔积液者进行胸腔穿刺术前定位.[结果]B超确诊胸腔少量积液6例、中量积液7例、大量积液4例.11例中、大量积液者均行胸腔穿刺抽液内减压,抽液量与B超估测基本相符.[结论]床旁B超可以快速、准确、无创地诊断胸腔积液,大概估测积液量,为胸腔穿刺术前定位,不需要搬移患者,可作为今后中度以上烧伤患者围休克期常规排除胸腔积液的诊断方法,对早发现、早治疗烧伤合并胸腔积液有很大帮助.
[목적]탐토상방B초재중도소상병발흉강적액적림상응용개치.[방법]대17례중도소상출현료흉민、기촉급불능해석적저양혈증환자작상방초성검사.근거흉강액체전후경＜3 cm자위소량적액,3.0～6.0 cm위중량적액,6 cm이상위대량적액.림상추출흉수소우200 mL위소량적액,200～600 mL위중량적액,600 mL이상위대량적액.대학진위중지대량흉강적액자진행흉강천자술전정위.[결과]B초학진흉강소량적액6례、중량적액7례、대량적액4례.11례중、대량적액자균행흉강천자추액내감압,추액량여B초고측기본상부.[결론]상방B초가이쾌속、준학、무창지진단흉강적액,대개고측적액량,위흉강천자술전정위,불수요반이환자,가작위금후중도이상소상환자위휴극기상규배제흉강적액적진단방법,대조발현、조치료소상합병흉강적액유흔대방조.
[Objective]To evaluate the application value of bedside B-Ultrasound exam in severe burn patient with pleural effusion. [Methods] Bedside B-ultrasound exams were performed in 17 severe burn patients who have accompanied chest tightness, tachypnea and unexplainable hypoxemia. Small effusion was the pleural effusion front-back distance less than 3cm, medium effusion was 3.0～6.0cm and large effusion was more than 6cm. Small effusion was clinical pleural fluid withdrawn less than 200ml, medium effusion was 200～600 mL and large effusion was more than 600ml. The position was located for patients with medium to large effusion before thoracentesis. [Results] By B-ultrasound, there were 6 cases with small effusion, 7 cases with medium effusion and 4 cases with large effusion. Thoracentesis was performed to release internal pressure in 11 cases with medium to large effusion. The volume of plural fluid withdrawn was consistent with that of B-ultrasound measured. [Conclusion] B-ultrasound exam can make quick, accurate and harmless diagnosis for pleural effusion. It can be used to estimate the volume of effusion and the localization before thoracentesis. Patients need not to be removed from their bed. B-ultrasound exam also can be used as a routine diagnostic method to exclude pleural effusion in severe burn patients during the stage of shock. It is very helpful for early detection and treatment for burn patients with pleural effusion.