急诊超声检查在腹部闭合性损伤诊断中的应用价值  

Value of Emergency Ultrasonography in Diagnosis of Blunt Abdominal Trauma

作　　者：吴隽[1] 李毅[2] 徐俊[1] 陈旭东[1] 赖会君[1] 

机构地区：[1]南京中医药大学附属苏州医院超声科,215009 [2]苏州大学附属第一医院急诊科

出　　处：《岭南急诊医学杂志》2016年第3期237-239,共3页Lingnan Journal of Emergency Medicine

摘　　要：目的:探讨急诊超声检查在腹部闭合性损伤诊断中的应用价值。方法:对我院102例腹部闭合性损伤患者进行急诊超声检查,观察腹部脏器声像图有无异常改变,并重视观察腹腔内有无游离液体及气体。结果:所有患者均经CT检查或手术证实,超声诊断总体符合率85.3%(87/102),其中实质性脏器损伤93例,空腔脏器损伤9例,实质性脏器损伤诊断符合率明显高于空腔脏器损伤(89.2%vs44.4%,P<0.01)。结论:对腹部闭合性损伤尤其是实质性脏器损伤,急诊超声检查诊断符合率高,具有较好的临床应用价值。Objective ：To explore the value of emergency ultrasonography in diagnosis of bluntabdominal injury.Methods：Emergency ultrasonography was used in102 patients with blunt abdominal traumain emergency department.The abnormal changes of the sound and image of the abdomen were observed,paying equal attention to free intraperitoneal fluid and gas. Results ： All patients were proved by CT examinationor surgical operation.The emergency ultrasonography identified 87（85.3%）patients with blunt abdominal injury,of whom 93 patients with solid organ injury and 9 patients with hollow organ injury.The accordance rate of diagnosis in the solid organs was significantly higher than that in the hollow organs（89.2% vs 44.4%,P 〈0.01）. Conclusion ： Emergency ultrasonographycan show high diagnosis accordance rate in abdominal solid organ injury after blunt abdominal trauma. Thus,it is of great value in clinical application.

关 键 词：腹部损伤 闭合性 超声检查 急诊 

分 类 号：R656[医药卫生—外科学]