便携式超声仪应用FAST检查法快速诊断海战腹部闭合损伤中的应用-“和平友谊2015”中马联合卫勤演练体会  

Application of focused assessment with sonography for trauma with portable ultrasound instrument for rapid diagnosis of abdominal closed injury in naval battle： experience from ＂Peace Mission 2015＂ China-Malaysia Joint Medical Service drilling

作　　者：徐涛 王喜安[2] 张云山 李馨 贺声 余泽辉 薛海萍 XU Tao WANG Xi-an ZHANG Yun-shan LI Xin HE Sheng YU Ze-hui XUE Hai-ping(Department of Ultrasound, Navy General Hospital of Chinese People＇s Liberfation Army, Beijing 100048, China)

机构地区：[1]海军总医院超声医学科,北京100048 [2]解放军第411医院特检科

出　　处：《中国急救复苏与灾害医学杂志》2016年第11期1067-1069,共3页China Journal of Emergency Resuscitation and Disaster Medicine

摘　　要：目的探讨使用便携式超声仪应用创伤重点超声评估（focused assessment with sonography for trauma，FAST）检查法快速诊断海战腹部闭合伤方面的应用价值。方法模拟伤病员40名（随机抽取中方人员36名，马方人员4名），分别使用便携式彩色超声仪应用FAST检查法判断伤病员腹腔各问隙是否存在游离液体和固定大型彩色超声诊断仪对腹腔各脏器进行常规超声检查判断是否存在腹腔脏器损伤，记录两种检查方法所用检查时间，并进行统计学分析。结果使用便携式超声仪FAST检查法检查伤病员均未发现腹腔游离液体，检查耗时15．6～58．6s，平均（32．21±11．74）s；固定式超声仪常规检查方法检查伤病员共发现肝囊肿5例，胆囊息肉4例，肾囊肿5例，前列腺钙化灶7例，均未发现腹腔脏器损伤，检查耗时97．7～149．5s，平均（118．21±18．29）s，两者检查耗时差异有统计学意义（P〈0．01）。结论便携式超声仪应用超声FAST检查法可快速评估腹部闭合损伤伤情，为下一步诊疗赢得宝贵时间，提高伤员的救治率，适合在作战舰艇部队医疗卫生部门积极推广普及。Objective To evaluate the effects of focused assessment with sonography for trauma （FAST）with portable ultrasound instrument for rapid diagnosis of abdominal closed injury in naval battle. Methods Forty Simulated wounded with abdominal organ injuries （randomly selected 36 Chinese soldiers and 4 Malaysian soldier）, underwent FAST with portable ultrasound instrument and then routine ultrasonic examination with fixed color doppler ultrasound instrument by the same experienced sonologist to determine whether there was free liquid in the peritoneal cavity and to find pathological phenomena in the abdominal organs. The lengths of examination time of these two methods were analyzed statistically. Results The TFAST was （32.21±11.74） s, significantly shorter than that of theTroutine [（118.21±18.29） s, P〈 0.01]. No free fluid was found in the abdominal cavity. Routine ultrasound examination found 5 cases of hepatic cysts, 4 cases of gallbladder polyps, 5 cases of renal cysts, and 7 cases of prostatic calcification. Conclusion Ultrasound examination with portable ultrasound instrument using the FAST method help quickly assess the abdominal closed injury, save the examination time, thus improving the treatment rate of the wounded, and is applicable to the combat vessel forces.

关 键 词：便携式超声 创伤重点超声评估法 卫勤演练 

分 类 号：R821.42[医药卫生—临床医学]