急诊超声检查在非外伤性急腹症中的应用价值

Clinical research on emergency ultrasound in non-traumatic acute abdomen patients

目的探讨急诊超声检查在非外伤性急腹症中的临床价值。方法回顾性分析2010年1月1日～2012年6月30日我院急诊科就诊的非创性急腹症患者的并行急诊超声检查结果。结果 615例患者纳入研究,超声检查总体检出率为80.8%,大部分实质器官的确诊率在90%以上,其中肾积水、宫外孕破裂、卵巢囊肿扭转、卵巢囊肿破裂、胸腔积液的确诊率达100%,而十二指肠溃疡穿孔的确诊率最低,仅为28.2%。结论超声检查对急诊急腹症患者具有较高的诊断及鉴别诊断能力,此方法简单、易行、实用,有较强的应用价值,但仍须仔细的询问病史及进行全面体格检查。

Objective To study the Clinical value of emergency ultrasound in non-traumatic acute abdomen patients.Methods Retrospective analysis was carried on,patients diagnosed with non-traumatic acute abdomen by emergency department physician between January 1st,2010 to June 30th,2012 and their ultrasound results were evaluated.Results 615 patients were enrolled.The overall detection rate of Ultrasound was 80.8%,the diagnosis rates of most solid organ were more than 90%,and the diagnosis rates of hydronephrosis,ruptured ectopic pregnancy,ovarian cyst torsion,ovarian cyst rupture,pleural effusion reached 100%,while diagnosis rate of duodenal ulcer perforation was the lowest,which was only 28.2%.Conclusions Ultrasound has strong power of diagnosis and differential diagnosis in emergency room patients with acute abdomen,which is simple,easy,practical,strong value,but careful medical histories and comprehensive physical examinations are also needed.