急诊床旁超声心动图在临床中的应用  

Clinical Value of Emergency Bedside-Echocardiography

作　　者：李晓辉[1] 王彩荣[1] 高敬[1] 高承梅[1] 

机构地区：[1]首都医科大学宣武医院心脏科,北京100053

出　　处：《河北医学》2011年第10期1339-1342,共4页Hebei Medicine

摘　　要：目的:评价急诊床旁超声心动图(Emergency Bedside-Echocardiography,EB-Echo)在临床工作中的应用价值。方法:回顾性分析我院自2009年9月1日至2010年9月30日期间1848例急诊床旁超声心动图病例。结果:本组共收集急诊床旁超声心动图病例1848例,小于45岁的患者最少,46-85岁之间的患者检查人数随年龄增长呈递增趋势,以66-85岁患者居多,而大于85岁的患者减少。男、女性别之间无差异。其中胸痛、胸闷患者861例(46.6%),心脏杂音待查患者379例(20.5%),脑栓塞、脑梗死110例(6%),骨折病例314例(17%),颅脑外伤、脑动脉瘤、脑出血病例45例(2.4%)。下肢动脉闭塞、足坏疽等91例(4.9%)。胸腔积液、胸部外伤、肺占位、消化系统脏器病变等需要手术治疗的共计48例(2.6%)。结论:急诊床旁超声心动图在临床工作中具有重要的实用价值,应该得到广泛推广。Objective：To investigate the value of clinical application in emergency bedside echocardiography. Method：1848 cases who took emergency bedside echocardiography were retrospectively analyzed from Sep.2009 to Sep.2010 in our hospital. Result：The range of age was from 16 to 95 years old,and 1223 cases were older than 65 years.There was no different in gender.But during 66-85 years,male were more than female.The patients were included chest pain 861（46.6%,861/1848）;murmur 379（20.5%,379/1848）;stroke 110（6%,110/1848）;fracture 314（17%,314/1848）;traumatic brain injury and cerebral hemorrhage 45（2.4%,45/1848）;feet gangrene 91（4.9%,91/1848）;others diseases 48（2.6%,48/1848））. Conclusion：Emergency bedside echocardiography play an important role in diagnosis and clinical treatment for critical diseases.

关 键 词：急诊 床旁 超声心动图 

分 类 号：R540.45[医药卫生—心血管疾病]