急诊床旁超声心动图在临床中的应用

摘要

Objective: To investigate the value of clinical application in emergency bedside echocardio-graphy. Method: 1848 cases who took emergency bedside echocardiography were retrospectively analyzed from Sep. 2009 to Sep. 2010 in our hospital. Result:The range of age was from 16 to 95 years old, and 1223 cases were older than 65 years. There was no different in gender. But during 66-85 years, male were more than female. The patients were included chest pain 861 (46.6% ,861/1848) ; murmur 379 (20.5% , 379/1848); stroke 110 (6% ,110/1848) ; fracture 314 (17% ,314/1848) ; traumatic brain injury and cerebral hemorrhage 45 (2.4% ,45/1848); feet gangrene 91 (4.9% ,91/1848) ; others diseases 48 (2.6% , 48/1848) ). Conclusion: Emergency bedside echocardiography play an important role in diagnosis and clinical treatment for critical diseases.%目的:评价急诊床旁超声心动图(Emergency Bedside- Echocardiography,EB-Echo).在临床工作中的应用价值.方法:回顾性分析我院自2009年9月1日至2010年9月30日期间1848例急诊床旁超声心动图病例.结果:本组共收集急诊床旁超声心动图病例1848例,小于45岁的患者最少,46 -85岁之间的患者检查人数随年龄增长呈递增趋势,以66-85岁患者居多,而大于85岁的患者减少.男、女性别之间无差异.其中胸痛、胸闷患者861例(46.6％),心脏杂音待查患者379例(20.5％),脑栓塞、脑梗死110例(6％),骨折病例314例(17％),颅脑外伤、脑动脉瘤、脑出血病例45例(2.4％).下肢动脉闭塞、足坏疽等91例(4.9％).胸腔积液、胸部外伤、肺占位、消化系统脏器病变等需要手术治疗的共计48例(2.6％).结论:急诊床旁超声心动图在临床工作中具有重要的实用价值,应该得到广泛推广.