床旁便携超声筛查“4·20”芦山地震伤员外周静脉血栓的价值  

The Value of Portable Ultrasound Diagnosis in Screening Peripheral Vein Thrombosis of the Injured Victims in Lushan Earthquake on April 20,2013

作　　者：王明瑜[1] 谢华玉 张玥[1] 秦英才 文晓蓉[1] 

机构地区：[1]四川大学华西医院超声科,成都610041

出　　处：《华西医学》2015年第1期70-73,共4页West China Medical Journal

摘　　要：目的探讨床旁便携式超声筛查＂4·20＂芦山地震伤员外周静脉血栓的价值。方法对2013年4月20日-5月5日住院的321例地震伤员中203例骨折伤员行床旁外周静脉彩色多普勒超声筛查的情况进行回顾分析。结果检出静脉血栓63例（31.03%）82个部位,其中髂静脉血栓1例,下肢静脉血栓53例共71个肢体,上肢静脉血栓9例共10个肢体。外伤后首次检查到患者血栓的时间为2-15 d,平均（6.1±3.8）d;入院时查见血栓45例,入院后血栓范围增加19例,血栓范围减少26例;新发生血栓18例。无患者因肺栓塞死亡。结论地震伤员外周静脉血栓发生率高,以小腿肌间静脉为主;外伤后发生血栓时间短;床旁便携式超声是观察外周静脉血栓的首选检查方法。Objective To explore the value of portable ultrasound in assessing peripheral vein thrombosis of the in）ured in Lushan earthquake on April 20, 2013. Methods From April 20th to May 5th in 2013, 321 earthquake victims were admitted into our hospital, and 203 fractured patients of them accepted peripheral venous two-dimensional and color doppler ultrasound examination beside the bed every three days. Results Sixty-three patients （82 locations） suffered from venous thrombosis in the 203 earthquake victims, and the rate was 31.03% （63/203）. Among them, one suffered from iliac vein thrombosis; 53 patients （71 limbs） were attacked by lower limb venous thrombosis; 9 patients （10 limbs） suffered from upper limb venous thrombosis. The time was from 2 to 15 days after trauma when the victims were diagnosed to have thrombus at the first time, averaging （6.1±3.8） days. On admission day, 45 victims were diagnosed with peripheral vein thrombosis. Among them, 19 patients increased the scope of thrombus after admission in hospital, while 26 victims reduced the scope. Eighteen victims suffered from newly developed peripheral venous thrombus after admission in hospital. None of the hospitalized patients died of pulmonary embolism. Conclusions The victims iniured in the earthquake have a high incidence of peripheral vein thrombosis, and the calf is the main site of the disease. After trauma, peripheral venous thrombosis occurs within a short time. Bedside portable ultrasound is the first choice for peripheral vein thrombosis in the earthquake victims.

关 键 词：便携式超声 外周静脉 血栓 地震 

分 类 号：R445.1[医药卫生—影像医学与核医学] R683[医药卫生—诊断学]