全面腹部超声检查在急腹症诊断中的价值分析

目的:分析全面腹部超声检查在急腹症诊断中的价值。方法:从本院2018年1月—2018年7月接受的急腹症患者中,抽取156名,随机将其分为常规检查组与全面检查组,均78例。常规检查组实施常规超声检查方法仅对病灶进行检查,全面检查组实施全面检查方法,不仅对病灶进行检查还对患者脏器进行检查,观察两组超声检查时间、临床诊断时间、诊断符合、误诊情况。结果:常规检查组患者超声检查时间显著短于全面检查组;但全面检查组患者临床诊断时间显著短于常规检查组,且诊断符合率显著高于常规检查组(P <0.05)。结论:在急腹症检查中应用全面腹部超声检查方案能够有效缩短临床诊断时间、提高临床诊断符合率,值得推广。

Russian Experience of the Rational Thromboprophylaxis in Traumatology and Orthopaedics

Analysis of the safety and efficacy of the currently marked oral anticoagulants was performed in patients after large joints arthroplasty. A total of 5025 patients after total knee arthroplasty and 5216 patients after total hip arthroplasty were examined. All patients were divided into groups by the prescribed anticoagulant. The duration of anticoagulant therapy was 35 days and 6 weeks after surgery, respectively. Ultrasonography of the lower extremities veins was performed in all patients prior to the surgery and 5 days after surgery. In patients receiving Dabigatran, the incidence of clinically significant deep vein thrombosis was lower compared with patients receiving Rivaroxaban and Apixaban; in contrast, the rate of postoperative hematomas in the last two groups was higher.