床旁超声造影在多发伤患者腹腔出血诊疗中的应用研究  

Application of Bedside Contrast-Enhanced Ultrasound in the Diagnosis and Treatment of Abdominal Bleeding in Patients With Multiple Injuries

作　　者：王畅 陈粤明[1] 刘俊涛 WANG Chang;CHEN Yueming;LIU Juntao(Department of Emergency Medicine,Zhanjiang Central People's Hospital,Zhanjiang Guangdong 524033,China;Department of Trauma Surgery,Zhanjiang Guangdong 524033,China)

机构地区：[1]湛江中心人民医院急诊医学科,广东湛江524033 [2]湛江中心人民医院创伤外科,广东湛江524033

出　　处：《中国卫生标准管理》2023年第23期110-113,共4页China Health Standard Management

基　　金：广东省湛江市科技计划项目(2020B01233)。

摘　　要：目的探讨床旁超声造影在多发伤患者腹腔出血诊疗中的应用效果。方法选取2020年9月—2023年5月在湛江中心人民医院急诊医学科治疗的多发伤可疑腹腔出血患者141例,随机分为CT组(n=73)与床旁超声造影组(n=68)。床旁超声造影组立即行床边超声及造影诊断,CT组转运后行腹部CT检查。对比两组检查所需时间、死亡率、致残率,并观察检查准确率。结果床旁超声造影组检查所需时间为(5.75±2.18)min,CT组为(10.24±3.07)min,差异有统计学意义(t=7.026,P<0.05)。床旁超声造影组治疗后死亡率(5.88%)、致残率(16.18%)与CT组(8.22%,16.44%)比较,差异无统计学意义(P>0.05)。床旁超声造影组对腹腔出血检查准确率(92.65%)与CT组准确率(97.26%)比较,差异无统计学意义(P>0.05)。结论床边超声造影与CT诊断多发伤患者腹腔出血效果的基本一致,但检查所需时间较短,有降低致残率、死亡率的可能,可扩大样本进行进一步研究。Objective To explore the application effect of bedside contrast-enhanced ultrasound in the diagnosis and treatment of abdominal bleeding in patients with multiple injuries.Methods A total of 141 patients with suspected abdominal bleeding from multiple injuries who were treated in the department of emergency medical,Zhanjiang Central People's Hospital from September 2020 to May 2023 were collected and randomLy divided into a CT group(n=73)and a bedside contrast-enhanced ultrasound group(n=68).The bedside ultrasound contrast-enhanced group underwent bedside ultrasound and contrast-enhanced diagnosis immediately,while the CT group underwent abdominal CT examination after transportation.The time required for examination,mortality rate,and disability rate were compared between the two groups,and the consistency between the examination results and intraoperative conditions was observed.Results The time required for bedside contrast-enhanced ultrasound examination was(5.75±2.18)min,while in the CT group it was(10.24±3.07)min,with a statistically significant difference(t=7.026,P<0.05).The mortality rate(5.88%)and disability rate(16.18%)of the bedside contrast-enhanced ultrasound group after treatment were not statistically significant compared to the CT group(8.22%,16.44%)(P>0.05).There was no statistically significant difference between the accuracy of the bedside contrast-enhanced ultrasound group in detecting abdominal bleeding(92.65%)and the accuracy of the CT group(97.26%)(P>0.05).Conclusion The diagnostic effect of bedside contrast-enhanced ultrasound and CT on abdominal bleeding in patients with multiple injuries is basically the same,but the examination time is relatively short,which may reduce the disability rate and mortality rate.Further research can expand the sample size.

关 键 词：床旁超声造影 多发伤 腹腔出血 诊疗价值 应用研究 脏器损伤 

分 类 号：R735[医药卫生—肿瘤]