急诊床边B超检查在钝性腹部损伤中的临床意义

目的:分析急诊床旁B超(Bedside sonography,BS)对钝性腹部损伤检查的临床意义。方法:回顾分析2004年1月至2007年1月闻144例钝性腹部损伤BS检查、手术及腹部CT检查的临床资料。结果:BS(+)112例,BS (-)32例。腹部CT检查108例,剖腹手术88例。BS定性诊断符合率91.7%(132/144),BS定位诊断符合率67.8% (76/112)。治愈124例,死亡20例,病死率13.9%(20/144)。结论:BS是钝性腹部损伤的一种快速、精确的定性诊断方法并具有一定的定位诊断价值;BS是对钝性腹部损伤保守治疗患者进行严密观察的重要手段。

Clinical Value of Bedside Sonography in Blunt Abdominal Trauma

Objective To evaluate the clinical value of bedside sonography(BS)in blunt abdominal trauma.Methods A retrospectively study was done in 144 cases with blunt abdominal trauma.The clinical material of BS,operations and abdominal CT in blunt abdominal trauma were analyzed.Results Of the 144 cases,BS(+)in 112 cases,BS(-)in 32 cases.Abdomi- nal CT was performed in 108 cases.Laperotomy was performed in 88 cases.The coinci-dence rate of quality diagnosis of BS is 91.7%(132/144),and that of location diagnosis is 67.8%(76/112).In the group,124 cases were cured,20 cases were died.The overall mortality rate was 13.9%(20/144).Conclusion BS is a rapid and accurate method of qualitative diagnosis for blunt abdominal trauma and has partly value of location diagnosis.BS is an important method for closely monitoring the pa- tients receiving conservative treatment.