汶川地震现场超声诊断长骨骨折及指导手法复位的实际应用  

The application of portable ultrasound for diagnosis of long bone fracture and for guiding manipulative reduction in Wenchuan earthquake

作　　者：董磊[1] 李铁军[2] 许峰[1] 杜丹[1] 董玉波[1] 赵普军[1] 

机构地区：[1]济南军区总医院超声科,济南250031 [2]成都军区昆明总医院医务部

出　　处：《中国医药》2009年第3期203-204,共2页China Medicine

摘　　要：目的探讨便携式超声在应急事件中诊断长骨骨折、指导手法复位的应用价值。方法应用便携式超声现场诊断汶川地震48例长骨骨折患者，在受伤现场指导手法复位。结果48例长骨骨干骨折超声诊断为横形骨折18例、斜形骨折25例、粉碎性骨折5例，均与X线片诊断一致，超声引导骨折手法复位优良29例（60．4％），尚可17例（35．4％），差2例（4．2％）。48例均未加重损伤或造成继发性损伤。结论便携式超声在应急事件现场诊断长骨骨折、指导手法复位，可避免再次损伤、减少并发症和病死率。Objective To observe the value of portable ultrasound for diagnosis of long bone fracture and for guiding manipulative reductionin in emergency. Methods Forty-eight patients suffered from lone bone fracture diagnosed by portable ultrasound in Wenchuan earthquake were enrolled, and they were treated with manipulative reduetionin with guidance of ultrasound in the scene. Results Among these patients diagnosed by ultrasound, 18 patients were transverse fracture, 25 were oblique fracture, and 5 were thrypsis fracture. All were confirmed with the result of X-ray. In patients accepted manipulative reductionin treatment with guidance of ultrasound, 29 patients got curative result（60.4% ）, 17 got moderate result （35.4%） and 2 got bad result （4.2%）. Conclusion Portable ultrasound is good for diagnosis of lone bone fracture in emergency and guides the treatment of manipulative reduction which prevents secondary injury, therefore decreases complication and mortality.

关 键 词：长骨骨折 便携式超声 手法复位 

分 类 号：R683[医药卫生—骨科学]