便携式超声创伤重点评估检查对急诊腹部闭合性损伤患者的诊断价值

Diagnostic value of portable focused assessment with sonography for trauma scan in emergency patients with closed abdominal injury

目的探究便携式超声创伤重点评估(FAST)检查在急诊腹部闭合性损伤患者中的诊断价值。方法回顾性分析丽水市人民医院急诊科2018年6月~2020年1月收治的78例腹部闭合性损伤患者临床资料,78例患者均采用Mindray公司的M9便携式超声诊断仪进行腹部扫描检查,以手术结果或临床诊断为最终标准,比较便携式超声FAST检查结果符合率。结果78例腹部闭合性损伤患者中,3例因伤情过重抢救无效死亡,45例开展急诊手术(无手术死亡病例),30例开展保守治疗。最终诊断结果:单脏器损伤62例,多脏器损伤16例;便携式超声FAST检查结果显示单脏器损伤57例,符合率为91.94%;多脏器损伤13例,符合率为81.25%;腹部闭合性损伤诊断符合率为89.74%。结论便携式超声FAST检查在诊断急诊腹部闭合性损伤患者中具有诊断符合率高、速度快等优势,携带方便,可为腹部闭合性损伤患者赢得黄金抢救时间,值得应用与推广。

Objective To explore the diagnostic value of portable focused assessment with sonography for trauma(FAST)scan in emergency patients with closed abdominal injury.Methods Clinical data of 78 patients with closed abdominal injury in the emergency department of Lishui People's Hospital from June 2018 to January 2020 were retrospectively analyzed.All 78 patients were given Mindray's M9 portable sonography for abdominal scans.With surgical results or clinical diagnosis as the final standard,the coincidence rate of the results of portable FAST scans was compared.Results Among 78 patients with closed abdominal injury,3 cases died due to excessive injuries and rescue failure.45 cases were given emergency surgery(no deaths from surgery),and 30 cases were given conservative treatment.The final diagnosis results:There were 62 cases of single organ injuries and 16 cases of multiple organ injuries;portable FAST scan results:There were 57 cases of single organ injury,with the coincidence rate of 91.94%;13 cases of multiple organ injury,with the coincidence rate of 81.25%;the diagnosis coincidence rate of closed abdominal injury was 89.74%.Conclusion The portable FAST scan has the advantages of high diagnostic coincidence rate and fast speed in the diagnosis of patients with closed abdominal injury in emergency department.It is convenient to carry and can win golden rescue time for patients with closed abdominal injury,which is worthy of application and promotion.