急诊便携式超声诊治创伤性血气胸的疗效观察  

Observation on the efficacy of emergency portable ultrasound device in the diagnosis and treatment of traumatic hemopneumothorax

作　　者：余和安[1] 甄新焕[1] 吕远军[1] 阮炎鹏 李柏林[1] YU He-an;ZHEN Xin-huan;LYU Yuan-jun(Emergency Department,Kaiping Central Hospital,Kaiping 529300,China)

机构地区：[1]开平市中心医院急诊科,529300 [2]江门市人民医院神经内科二区,529000

出　　处：《中国实用医药》2021年第29期29-32,共4页China Practical Medicine

基　　金：江门市科技计划项目(项目编号:2021YL10010)。

摘　　要：目的观察急诊便携式超声诊治创伤性血气胸的临床疗效。方法80例创伤性血气胸患者,按随机数字表法分为观察组和对照组,各40例。对照组采取传统的抢救流程,即将患者送往CT室检查后,再依据检查报告行常规胸腔闭式引流。观察组按照指征在急诊便携式超声引导下行胸腔闭式引流,待病情稳定后再行CT检查。比较两组急诊入门到穿刺时间、一次穿刺成功率、诊断耗时、临床疗效。结果观察组急诊入门到穿刺时间为(9.58±1.02)min,诊断耗时为(6.52±1.48)min,均短于对照组的(14.65±1.08)、(30.14±2.15)min,差异有统计学意义(P<0.05)。观察组一次穿刺成功率为92.5%,高于对照组的65.0%,差异有统计学意义(P<0.05)。观察组临床总有效率为100.0%,高于对照组的85.0%,差异有统计学意义(P<0.05)。结论急诊便携式超声诊治创伤性血气胸能够缩短急诊入门到穿刺时间,具有较高的穿刺成功率,提升了救治成功率,值得临床推广使用。Objective To observe the clinical efficacy of emergency portable ultrasound device in the diagnosis and treatment of traumatic hemopneumothorax.Methods A total of 80 patients with traumatic hemopneumothorax were divided into observation group and control group according to the random numerical table,with 40 cases in each group.The control group adopted the traditional rescue procedure,after the patient was sent to the CT room for examination,the routine closed chest drainage was performed according to the examination report.The observation group were given closed thoracic drainage in the emergency room with portable ultrasound device according to the indications,then CT examination was performed after the condition was stabilized.The time from emergency entry to puncture,success rate of one-time puncture,diagnosis time and clinical efficacy were compared between the two groups.Results The time from emergency entry to puncture in the observation group was(9.58±1.02)min,and the diagnosis time was(6.52±1.48)min,which were shorter than(14.65±1.08)and(30.14±2.15)min in the control group,and the difference was statistically significant(P<0.05).The success rate of one-time puncture in the observation group was 92.5%,which was higher than 65.0%in the control group,and the difference was statistically significant(P<0.05).The total clinical effective rate of the observation group was 100.0%,which was higher than 85.0%of the control group,and the difference was statistically significant(P<0.05).Conclusion Emergency portable ultrasound device for diagnosis and treatment of traumatic hemopneumothorax can shorten the time from emergency entry to puncture,and improves the success rate of treatment.It has a higher puncture success rate,and is worthy of clinical promotion and application.

关 键 词：急诊便携式超声 创伤性血气胸 临床研究 

分 类 号：R655[医药卫生—外科学]