扩展创伤超声重点评估在大批量伤员检伤分类中的研究进展

Research progress of extended focused assessment with sonography for trauma in simple triage and rapid treatment of mass wounded

在军事战争或大型突发事件中,常在短时间内出现大量伤情复杂的伤员,如何利用有限的医疗资源对大批量伤员进行快速检伤分类及紧急救治值得深入研究。扩展创伤超声重点评估(eFAST)是一项对胸腹部损伤患者进行快速评估和诊断的技术,具有快速、无创、可重复的特点。eFAST技术能快速筛查胸腹部损伤,可用于大批量伤员的检伤分类。文章就eFAST技术在心包积液、血/气胸、腹部损伤诊断和治疗中的应用,以及eFAST在大批量伤员快速检伤分类中的应用和使用流程进行综述。

In wars or large-scale emergencies,a large number of complex injuries often appear in a short time.How to use limited medical resources for rapid triage classification and emergency treatment of these patients is worth further study.Extended focused assessment with sonography for trauma(eFAST)is a technology for rapid assessment and diagnosis of patients with chest and abdomen injuries,which is fast,non-invasive,and repeatable.eFAST could quickly screen chest and abdomen injuries,which may be used for simple triage and rapid treatment.This article describes the role of eFAST in the diagnosis and treatment of pericardial effusion,hemothorax,pneumothorax,and abdomen trauma,as well as the application of eFAST in the rapid inspection and classification of wounded in large number.