床旁超声对气胸的诊断价值  

Diagnostic Value of Bedside Ultrasound to Aeropleura

作　　者：李晓君[1] 

机构地区：[1]聊城市人民医院超声科,山东聊城252000

出　　处：《中国医疗设备》2009年第7期95-96,共2页China Medical Devices

摘　　要：目的探讨床旁超声对气胸的诊断价值。方法98例临床疑诊气胸患者均作了床旁超声、仰卧位X线胸片及CT检查,并对结果进行比较。结果CT确诊气胸21例(24侧),超声诊断气胸20例(23侧),超声诊断气胸的敏感性、特异性、阳性预测值、阴性预测值、准确性分别为85.7%、98.7%、94.7%、96.2%、95.9%,优于X线胸片。结论床旁超声检查诊断气胸具有较高的敏感性和准确性,为危重病人气胸的诊断提供了简单、快速而安全有效的手段。Objective To explore the diagnostic value of bedside ultrasound on aeropleura. Methods Thoracic ultrasonic visualizatinn,X ray and CT were performed to detect aeropleura in 98 patients who were suspected to be suffering aeropleura and all the findings were compared. Results 21 patients who had aeropleura were detected by CT, 20 patients were detected by ultrasound. The sensitivity of ultrasound was 85.7%,the specificity was 98.7%,the positive predictive value was 94.7%,the negative predictive value was 96.2%,the accuracy was 95.9%. The sensitivity and accuracy of ultrasound were superior than X ray. Conclusion The examination of bedside ultrasound is a simple and effective means in the detection of aeropleura.

关 键 词：气胸 床旁超声 仰卧位胸片 

分 类 号：R312[医药卫生—基础医学] R561.4