急诊床旁超声检查对腹部钝性伤临床指导作用探讨

摘要

目的:与CT检查进行比较,探讨床旁超声在腹部钝性伤临床诊断治疗的指导作用.方法:选择166例患者,先后进行床旁超声和CT检查,比较两者在诊断肝脾肾损伤方面的结果以及其对手术治疗的指导作用.结果:床旁超声所示结果整体与CT检查差异无统计学意义,尤其在诊断血肿、实质损伤甚至破裂的符合率与CT检查差异无统计学意义(P>0.05),实施CT检查所花费时间明显长于床旁超声检查(P<0.05).结论:对于腹部钝性伤的诊断,床旁超声诊断率高,与CT检查比较还能有效节约患者确诊所需时间,避免反复搬动患者,是一种较好的早期诊断方法.%Objective:To investigate the clinical guidance of emergency bedside ultrasound imaging for abdominal blunt trauma and compare with the CT examination .Methods: 166 patients, used bedside ultrasound and CT scan ,then compared the diagnosis of liver, spleen and kidney damage in terms and their surgical treatment guidance.Results:Bedside ultrasound and CT scan showed no overall statistically significant, especially in the diagnosis of hematoma, parenchymal damage and even rupture of the coincidence rate with CT scan (P>0.05), implementation of the CT examination time was spent longer than bedside ultrasound examination (P<0.05).Conclusion:For the diagnosis of abdominal blunt trauma, bedside ultrasound diagnosis has a high diagnosis rate, compared with the CT scan, it can effectively save the time required for diagnosis of patients, to avoid moving patients, so it is a better method of early diagnosis.