床旁超声在创伤患者中的应用进展

The application development of bedside ultrasound in trauma patients

创伤具有较高的致死率及致残率,且创伤的发生率正逐年升高,快速准确的诊断是改善创伤患者预后的关键。传统的影像学诊断技术为X线和CT检查,X线检查虽可在床旁完成,但敏感性不高,CT检查的诊断敏感性虽高,但无法床旁完成,且反复转运患者的过程中可能会延误最佳治疗时间,甚至造成二次损伤。床旁超声具有快速、实时、无创及可重复操作等优点,在创伤的诊断中得到越来越广泛的应用。本文将介绍床旁超声在创伤患者中的临床应用情况及价值。

The patients with trauma have a high mortality and disability rate,and the incidence of trauma is increasing year by year.Rapid and accurate diagnosis is the key to improve the prognosis of patients with trauma.The traditional diagnostic imaging techniques are X-ray and CT examination.Although X-ray examination can be completed at the bedside,its sensitivity is not high.The diagnostic sensitivity of CT examination is high,but it can not be completed by bedside.Moreover,the process of repeated transportation of patients will delay the best treatment time,even cause secondary injury.Bedside ultrasound has the advantages of fast,real-time,noninvasive and repeatable operation.With the continuous development of bedside ultrasound technology,it has been widely used in the diagnosis of trauma.This review summarized the clinical applications of bedside ultrasound in trauma patients.