急诊床边B超检查在钝性腹部损伤中的临床意义

Clinical Value of Bedside Sonography in Blunt Abdominal Trauma

目的:分析急诊床旁B超(Bedside sonography,BS)对钝性腹部损伤检查的临床意义。方法:回顾分析2004年1月至2007年1月闻144例钝性腹部损伤BS检查、手术及腹部CT检查的临床资料。结果:BS(+)112例,BS (-)32例。腹部CT检查108例,剖腹手术88例。BS定性诊断符合率91.7%(132/144),BS定位诊断符合率67.8% (76/112)。治愈124例,死亡20例,病死率13.9%(20/144)。结论:BS是钝性腹部损伤的一种快速、精确的定性诊断方法并具有一定的定位诊断价值;BS是对钝性腹部损伤保守治疗患者进行严密观察的重要手段。

Objective To evaluate the clinical value of bedside sonography（BS） in blunt abdominal trauma. Methods A retrospectively study was done in 144 cases with blunt abdominal trauma. The clinical material of BS, operations and abdominal CT in blunt abdominal trauma were analyzed. Results Of the 144 cases,BS（ ＋ ） in 112 cases,BS（ - ） in 32 cases. Abdominal CT was performed in 108 cases. Laparotomy was performed in 88 cases. The coinci-dence rate of quality diagnosis of BS is 91.7% （132/144）,and that of location diagnosis is 67.8% （76/112）. In the group, 124 cases were cured,20 cases were died. The overall mortality rate was 13.9% （20/144）. Conclusion BS is a rapid and accurate method of qualitative diagnosis for blunt abdominal trauma and has partly value of location diagnosis. BS is an important method for closely monitoring the patients receiving conservative treatment.