创伤重点超声评估法联合腹部穿刺在腹部闭合性损伤中的作用  

Trauma focused ultrasound assessment method combined abdominal puncture in the role of blunt abdominal trauma

作　　者：吴多虎[1] 

机构地区：[1]海南省人民医院急诊科,海口570311

出　　处：《中国医学前沿杂志（电子版）》2014年第8期70-72,共3页Chinese Journal of the Frontiers of Medical Science(Electronic Version)

摘　　要：目的研究创伤重点超声评估法(FAST)联合腹部穿刺在腹部闭合性损伤(BAT)中的作用。方法运用FAST联合腹部穿刺对本院收治的196例BAT患者进行诊断,将检查结果与其对应的CT检查结果比较并进行分析。结果经FAST检查分析,腹腔积液174例,经手术证实腹腔积液168例,准确率为96.55%;腹部损伤184例,其中包括脾脏损伤43例,肝脏损伤82例,肾脏损伤59例,经手术证实腹部损伤180例,准确率为97.82%。FAST联合腹部穿刺的检查时间为(2.1±0.4)分钟,检查费用为(146.3±35.1)元,显著低于CT检查[(16.5±6.3)分钟、(352.4±51.3)元],差异具有显著(P<0.05)。结论 FAST联合腹部穿刺在BAT患者诊断结果方面较为准确,相对于CT等检查手段更为快捷,值得在临床推广应用。Objective To research the role of trauma focused ultrasound assessment method combined abdominal puncture in blunt abdominal trauma. Method Used trauma focused ultrasound assessment method combined abdominal puncture to diagnosis 196 cases of patients with blunt abdominal trauma in our hospital. Compared the results of examination with results of corresponding CT. Result There were 174 cases with abdominal cavity effusion aider analysis of FAST, and there were actually 168 cases with abdominal cavity effusion confirmed by operation, the accuracy was 96.55%. FAST diagnosised 184 cases with abdominal injury, including 43 cases with spleen, 82 cases with liver damage, 59 cases with kidney injury. And there were actually 180 cases with abdominal injury, the accuracy was 97.82%. Time of FAST combined abdominal puncture was （2.1 ± 0.4） minutes, the cost for check was （146.3±35.1） yuan, the difference was statistically significan （P 〈 0.05）. Conclusion FAST combined abdominal puncture is more accurate in diagnosis and more faster than CT inspectio to patients with BAT, worthy of popularizing in clinical application.

关 键 词：创伤重点超声评估法 腹部穿刺 腹部闭合性损伤 

分 类 号：R656.1[医药卫生—急诊医学]