CAJ | 학술논문

目的通过对比床边超声和CT在创伤患者腹部损伤中的诊断效果，探索出适用于腹部损伤诊断的措施。方法重症患者治疗时，必须秉承先抢救或抢救检查同时进行的原则。进入急救室后，为患者提供心电监护、建立静脉通路、提供吸氧等相关处理。根据患者病情程度，在抢救过程中对其进行检查，如果存在腹部脏器受损，应及时提供床边腹部超声或腹部CT检测。结果使用床边超声诊断患者在检查前所需时间和报告获取时间方面都较使用CT检测患者少，且<0.05，具有统计学意义。在检查花费时间方面超声诊断比CT检测时间长，总过程所需时间超声检测小于CT组，<0.05，具有统计学意义。在检测结果方面两种检测方法无明显差异。结论对腹部损伤创伤患者治疗确诊过程中，若患者急需确诊实施手术，则更适合采取床边超声检测。所以，实际工作中应提高对"黄金1h"的重视，最大限度压缩救治各过程的时间，保证患者救治成功率。
목적통과대비상변초성화CT재창상환자복부손상중적진단효과，탐색출괄용우복부손상진단적조시。방법중증환자치료시，필수병승선창구혹창구검사동시진행적원칙。진입급구실후，위환자제공심전감호、건립정맥통로、제공흡양등상관처리。근거환자병정정도，재창구과정중대기진행검사，여과존재복부장기수손，응급시제공상변복부초성혹복부CT검측。결과사용상변초성진단환자재검사전소수시간화보고획취시간방면도교사용CT검측환자소，차<0.05，구유통계학의의。재검사화비시간방면초성진단비CT검측시간장，총과정소수시간초성검측소우CT조，<0.05，구유통계학의의。재검측결과방면량충검측방법무명현차이。결론대복부손상창상환자치료학진과정중，약환자급수학진실시수술，칙경괄합채취상변초성검측。소이，실제공작중응제고대"황금1h"적중시，최대한도압축구치각과정적시간，보증환자구치성공솔。
Objective By comparing the bedside ultrasound and CT in the diagnosis of patients with traumatic abdominal injury ef ect, explore measures suitable for the diagnosis of abdominal injury. Methods Critical y il patients, must check at the same time adhering to save or rescue principle.After entering the emergency room, to provide patients with ecg monitoring, establish venous access, provide oxygen and related processing.According to the degree of patients, in the rescue process to check, if there are abdominal viscera damage, to provide timely bed abdominal ultrasound or abdominal CT detection.Results Using bedside ultrasound diagnosis patients before inspection need time and report to get less time in al patients with CT were used to detect, and P<0.05, with statistical significance.During the inspection time in ultrasonic diagnosis than CT testing time is long, the total process time needed for ultrasonic testing is less than CT group, P<0.05, with statistical significance.In the aspect of test results no dif erence between the two kinds of detection methods.Conclusion For the treatment of abdominal injury and trauma patients in the process of diagnosis, if patients need surgery, diagnosis is more suitable for take the bedside ultrasonic testing.In practical work, therefore, should be raised to the at ention of the "golden hour", the maximum compression treatment time of each process to ensure patient treatment success rate.