共查询到19条相似文献,搜索用时 125 毫秒
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目前便携式超声已经广泛运用到急诊、重症监护、麻醉等相关领域并取得成就。随着超声技术的进步,便携式甚至口袋型超声机出现并得到应用,便携式超声在创伤急救中的应用也逐步得到发掘及认可。本文旨在阐述目前国内外便携式超声在院前急救、心肺复苏、紧急气道管理及其他创伤相关领域中的应用现状及前景。 相似文献
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目的探讨创伤超声重点评估法(FAST)在急诊救治中和野战条件下现场医疗救治中的应用价值。方法 (1)在医院急诊中,对195例外伤患者进行FAST检查,以发现腹腔游离积液和腹腔内实质脏器损伤为阳性,并与其他检查或手术结果进行对照分析。(2)将FAST检查应用于野战医疗队集训演习中,总结在野战条件下的应用价值和策略。结果(1)①急诊中24例阳性发现,19例腹腔中大量积血(液),均行急诊手术。术后证实均为内脏实质脏器破裂伴腹腔积血,符合率100%;5例发现肾破裂伴肾周血肿,未行急诊手术,后经CT检查证实。②3例发现假阳性。③5例发现假阴性。(2)野战条件下应做到:①更易展开、撤收的便携性超声仪及相关设备。②检查组成员须经专门培训。③须行扩展性FAST检查及后续性FAST检查。结论 FAST检查对于腹腔积血须急诊手术者具有高度敏感性和特异性,且环境要求低,检查用时短,特别在野战条件下对大批伤员的快速诊断、检伤和分类中有很大应用价值。 相似文献
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超声技术具有移动灵活、检查简便、诊断迅速等优点,适合于急诊检查和战时大批伤员的检诊,可为临床早期评估伤情、及时采取合理治疗方案提供帮助。 相似文献
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在现代战伤中,由于闭合性胸腹部脏器钝挫伤等体表无伤口,伤情隐匿、复杂多变,较难在早期得到及时救治。能否在伤后第一时间判断有无内脏破裂出血,并对出血部位进行准确定位,是抢救成功的关键环节。便携式超声诊断仪在战创伤中的应用,能为伤病员的抢救赢得时间。 相似文献
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创伤是当今人类死亡的主要原因之一。如何降低创伤患者的死亡率,改善创伤患者的预后是目前面临的巨大挑战。基于创伤数据库的创伤救治质量提高计划在国外已经相对成熟,然而在国内还处于萌芽阶段,本文对如何利用创伤数据库实施创伤救治质量提高和控制进行了阐述。 相似文献
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Kimberley Lentz McKenney M.D. Mark G. McKenney M.D. Diego B. Nuñez M.D. Lauren McDowell B.S. Larry Martin M.D. 《Emergency radiology》1996,3(3):113-117
The purpose of this study was to review all positive trauma abdominal ultrasound examinations, to determine a standard imaging
protocol that would provide rapid patient evaluation, and to assess the ability of ultrasound to predict the need for emergent
laparotomy.
All 62 positive examinations obtained over a 17-month period were reviewed. Nine anatomic sites were evaluated for free intraperitoneal
fluid, recording the location and depth. A scoring system was devised to reflect the amount of fluid. Results were correlated
with the need for laparotomy.
Free fluid was found in all nine areas; however, four areas (the right subphrenic, subhepatic, and perisplenic areas and the
pelvis) were diagnostic when a positive examination resulted from fluid found in only one site. Eighteen parenchymal injuries
were identified during sonography. To help determine the need for laparotomy, a simple scoring system was developed. Patients
with a score of >2 were found to have a significantly higher incidence of requiring an operation (P<0.001).
We conclude that trauma ultrasonography should consist of imaging the right subphrenic, subhepatic, and perisplenic areas
and the pelvis. Use of a scoring system can help determine the need for an operation 相似文献
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三维超声成像的临床应用现状与进展 总被引:4,自引:1,他引:3
随着超声技术的不断发展,三维超声成像已成为超声医学界关注的热点。与二维超声相比,三维超声能够显示组织结构的立体解剖形态和空间关系,并具有其独特的优势。本文综合文献资料将三维超声图像数据的获取、重建与显示方法加以概括,并将三维超声在临床各个领域对有关疾病的诊断应用与发展前景加以探讨。 相似文献
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Kimberley Lentz McKenney M.D. Mark G. McKenney M.D. Diego B. Nuñez M.D. Larry Martin M.D. 《Emergency radiology》1997,4(1):3-6
Ultrasound (US) provides a rapid, portable, and noninvasive method for evaluating the blunt trauma patient. In 1993, US was introduced into the workup of blunt abdominal trauma (BAT) at our institution and has rapidly become the modality of choice over computed tomography (CT) and diagnostic peritoneal lavage (DPL). In this study, the cost effectiveness of utilizing US in BAT was evaluated.We compared the number of DPLs and CTs performed during the 6-month period in 1993 preceding the incorporation of US with the number of CTs, DPLs, and USs performed during the last 6 months of 1994. Costs were determined by the finance department based on actual expenditures by the hospital, excluding physician fees, in 1994 U.S. dollars.Six hundred twenty-six patients were evaluated for BAT during the 6-month period in 1993. In this group, 450 patients had CT examinations, 160 had DPL, and 16 had both. This resulted in a cost of $254,316. During the last 6 months in 1994,564 patients were evaluated for BAT, including 470 USs, 175 CTs, and 11 DPLs. The cost for this group was $133,077, with a decrease in hospital expenditure of $170 per patient.We conclude that utilizing US in the evaluation of BAt leads to a significant cost reduction. Extrapolated over 1 year, with 1100 blunt abdominal trauma patients, the cost savings would be over $187,000. 相似文献
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高频多谱勒超声对阴囊病变的临床应用 总被引:1,自引:0,他引:1
目的:探讨阴囊病变的超声图像特征及对阴囊病变的临床应用价值。方法:应用高频探头对30例阴囊病变进行检查及诊断,睾丸肿瘤及睾丸破裂伤等经手术病理证实。结果:30例阴囊病变中,睾丸或精索鞘膜积液10例、隐睾2例、外伤2例、肿瘤2例、附睾炎8例、附睾肿瘤4例、腹股沟斜疝2例。结论:高频多谱勒超声检查对阴囊病变的诊断及鉴别诊断有极高的临床应用价值。 相似文献
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大出血是创伤早期死亡的最主要原因,明确出血部位、迅速控制出血对于改善创伤出血的救治效果至关重要。复苏性主动脉球囊阻断(REBOA)是将球囊导管置入主动脉后使用生理盐水充盈球囊,阻止血液流入主动脉远端,减少阻断位置以远部位的活动性出血,同时增加心脏后负荷和近端主动脉压,提高心脏和脑的灌注量,为进一步救治争取更多时间。但由于医务人员的认识程度、操作上的技术难度以及预期效果与实际结果的偏差,至今还存在一些争议。本文就REBOA的原理、在创伤急救中的应用效果、存在的问题与发展趋势进行综述。 相似文献
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急诊外科专业包含了创伤及外科危重病的范畴,实际工作中有着不同的运作模式,以普外科模式最为常见。急诊外科的有效运作需要具备经过专业培训的团队和管理制度的保障。经过2年半的临床实践观察,与传统模式比较,急诊外科一体化运作模式对于创伤患者在提高收治效率减少急诊滞留、缩短住院时间、改善预后、降低纠纷隐患等方面可能有一定帮助。但专业的发展还需要应对好学科群发展、人才培养、软硬件建设等诸多问题。 相似文献
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静脉血栓症(VTE)包括深静脉血栓形成(DVT)和肺栓塞(PE),是一种风险极高、潜在的致死性疾病,对于创伤患者更是如此。但VTE是可以预防的,目前已经有预防骨科择期手术VTE指南,但关于创伤患者预防VTE的临床证据尚显不足,为此笔者回顾了相关文献,对一些基本原则进行概述,并重点对预防措施和部分争论点进行综合分析。 相似文献