目的探讨超声扩大创伤重点快速评估(extended focused assessment with sonography for trauma,eFAST)技术在腹腔脏器破裂患者血性腹腔积液中的诊断价值。方法选择2019年1月—2020年3月40例疑似腹腔脏器破裂患者,比较超声e FAST技术与...目的探讨超声扩大创伤重点快速评估(extended focused assessment with sonography for trauma,eFAST)技术在腹腔脏器破裂患者血性腹腔积液中的诊断价值。方法选择2019年1月—2020年3月40例疑似腹腔脏器破裂患者,比较超声e FAST技术与术后病理学检查结果对腹腔脏器破裂是否伴有血性腹腔积液以及腹腔脏器破裂分型诊断的一致性。结果40例疑似腹腔脏器破裂患者经术后病理检查确诊为腹腔脏器破裂32例,且其中有24例患者伴有血性腹腔积液。40例疑似腹腔脏器破裂患者经超声eFAST技术检查确诊为腹腔脏器破裂30例,其中有22例患者伴有血性腹腔积液;超声eFAST技术诊断准确度、灵敏度、特异度分别为92.50%(37/40)、93.75%(30/32)、87.50%(7/8)。40例疑似腹腔脏器破裂患者经超声e FAST技术检查伴有血性腹腔积液22例,术后病理学检查伴有血性腹腔积液24例,超声eFAST和病理检查结果大致相同(Kappa=0.876)。结论超声eFAST技术能有效诊断腹腔脏器破裂,腹腔脏器破裂分型以及是否伴有血性腹腔积液。展开更多
<b><span>Background:</span></b><span> Blunt thoracic and abdominal traumas are frequent and have a poor prognosis in the absence of prompt diagnosis and adequate management. An ultra...<b><span>Background:</span></b><span> Blunt thoracic and abdominal traumas are frequent and have a poor prognosis in the absence of prompt diagnosis and adequate management. An ultrasound performed in the emergency room allows a precise diagnosis and a better orientation of the victims.</span><span> </span><b><span>Objective:</span></b><span> To assess the contribution of EFAST ultrasound in the management of blunt thoracic and abdominal traumas.</span><span> </span><b><span>Patients and method:</span></b><span> Cross-sectional descriptive and analytical study with prospective data collection carried out from February 20</span><sup><span style="vertical-align:super;">th</span></sup><span> to August 20</span><sup><span style="vertical-align:super;">th</span></sup><span>, 2017 in the emergency and intensive care units of the Parakou University Hospital Centre. An ultrasound machine fitted with a 3.5 MHz convex probe was used to search for post-traumatic effusion by the EFAST technique on admission and then as needed over 24 hours and after surgery.</span><span> </span><b><span>Results:</span></b><span> Sixty-three patients were collected with an 85.71% male predominance. The average age was 31.36 ± 13.29 years. The time to perform the EFAST ultrasound was 7 ± 3 min. EFAST was positive in 50.79% of patients. Five patients (7.93%) received emergency treatment for hemodynamic instability and positive EFAST within an average of 3.46 ± 2 hours. Eighteen patients (27.58%) received after monitoring by EFAST, surgery within 9 hours 12 minutes (hemoperitoneum) and 27 hours 58 minutes (hemothorax). Two patients were tested positive</span><span>ly</span><span> for EFAST after surgery.</span><span> </span><b><span>Conclusion:</span></b><span> The introduction of an EFAST ultrasound as a sorting tool in an environment with limited resources is desirable and feasible.</span>展开更多
文摘目的探讨超声扩大创伤重点快速评估(extended focused assessment with sonography for trauma,eFAST)技术在腹腔脏器破裂患者血性腹腔积液中的诊断价值。方法选择2019年1月—2020年3月40例疑似腹腔脏器破裂患者,比较超声e FAST技术与术后病理学检查结果对腹腔脏器破裂是否伴有血性腹腔积液以及腹腔脏器破裂分型诊断的一致性。结果40例疑似腹腔脏器破裂患者经术后病理检查确诊为腹腔脏器破裂32例,且其中有24例患者伴有血性腹腔积液。40例疑似腹腔脏器破裂患者经超声eFAST技术检查确诊为腹腔脏器破裂30例,其中有22例患者伴有血性腹腔积液;超声eFAST技术诊断准确度、灵敏度、特异度分别为92.50%(37/40)、93.75%(30/32)、87.50%(7/8)。40例疑似腹腔脏器破裂患者经超声e FAST技术检查伴有血性腹腔积液22例,术后病理学检查伴有血性腹腔积液24例,超声eFAST和病理检查结果大致相同(Kappa=0.876)。结论超声eFAST技术能有效诊断腹腔脏器破裂,腹腔脏器破裂分型以及是否伴有血性腹腔积液。
文摘<b><span>Background:</span></b><span> Blunt thoracic and abdominal traumas are frequent and have a poor prognosis in the absence of prompt diagnosis and adequate management. An ultrasound performed in the emergency room allows a precise diagnosis and a better orientation of the victims.</span><span> </span><b><span>Objective:</span></b><span> To assess the contribution of EFAST ultrasound in the management of blunt thoracic and abdominal traumas.</span><span> </span><b><span>Patients and method:</span></b><span> Cross-sectional descriptive and analytical study with prospective data collection carried out from February 20</span><sup><span style="vertical-align:super;">th</span></sup><span> to August 20</span><sup><span style="vertical-align:super;">th</span></sup><span>, 2017 in the emergency and intensive care units of the Parakou University Hospital Centre. An ultrasound machine fitted with a 3.5 MHz convex probe was used to search for post-traumatic effusion by the EFAST technique on admission and then as needed over 24 hours and after surgery.</span><span> </span><b><span>Results:</span></b><span> Sixty-three patients were collected with an 85.71% male predominance. The average age was 31.36 ± 13.29 years. The time to perform the EFAST ultrasound was 7 ± 3 min. EFAST was positive in 50.79% of patients. Five patients (7.93%) received emergency treatment for hemodynamic instability and positive EFAST within an average of 3.46 ± 2 hours. Eighteen patients (27.58%) received after monitoring by EFAST, surgery within 9 hours 12 minutes (hemoperitoneum) and 27 hours 58 minutes (hemothorax). Two patients were tested positive</span><span>ly</span><span> for EFAST after surgery.</span><span> </span><b><span>Conclusion:</span></b><span> The introduction of an EFAST ultrasound as a sorting tool in an environment with limited resources is desirable and feasible.</span>
