eFAST在多发性创伤患者胸腹部损伤筛查中的应用

Application of eFAST in the screening of thoracic and abdominal injuries in patients with multiple trauma

目的探讨扩展的超声创伤重点评估技术(eFAST)在多发性创伤患者胸腹部损伤筛查中的应用价值。方法58例多发性创伤胸腹部损伤患者均行CT和eFAST检查,并经过手术确诊。比较CT和eFAST检查对胸腹部损伤的检出率,分析eFAST在多发性创伤患者筛查中的应用价值。结果58例中共检出脾挫伤19例,肝挫伤14例,下腔静脉破裂10例,肠系膜上动脉破裂9例,小肠断裂6例。CT联合eFAST检查和eFAST单独检查的胸腹部损伤检出率高于CT单独检查(96.55%和94.83%vs.86.21%)(P<0.05),而eFAST单独检查与CT联合eFAST检查的胸腹部损伤检出率相仿(P>0.05)。CT检查时间长于eFAST检查[(10.87±3.41)min vs.(3.63±1.27)min](P<0.05)。结论在多发性创伤患者胸腹部损伤筛查中,采用eFAST能快速准确地评估患者病情,确定有效的救治措施,减少误诊、漏诊等情况。

Objective To investigate the application value of the extended ultrasound trauma-focused assessment technique(eFAST)in the screening of thoracic and abdominal injuries in the patients with multiple trauma.Methods Fifty-eight multiple trauma patients with thoracic and abdominal injuries underwent CT and eFAST examinations,in whom the thoracic and abdominal injuries were confirmed by surgery.The detection rates of thoracic and abdominal injuries reported by CT and eFAST examination were compared.The application value of the eFAST in the screening of thoracic and abdominal injuries in the patients with multiple trauma was analyzed.Results Of 58 cases,spleen contusion was detected in 19 cases,hepatic contusion was detected in 14 cases,rupture of inferior vena cava was detected in 10 cases,rupture of superior mesenteric artery was detected in 9 cases,and rupture of small intestine was detected in 6 cases.The detection rate of CT combined with eFAST examination and eFAST alone examination for thoracic and abdominal injuries was higher than that of CT examination(96.55%and 94.83%vs.86.21%)(P<0.05).The detection rate of eFAST alone examination was similar to that of CT combined with eFAST examination(P>0.05).The time for CT examination was longer than that for eFAST examination[(10.87±3.41)min vs.(3.63±1.27)min](P<0.05).Conclusion In the screening of thoracic and abdominal injuries of multiple trauma patients,the eFAST examination can quickly and accurately evaluate the patients'condition,determine effective treatment measures,and reduce misdiagnosis and missed diagnosis.