A prospective evaluation of abdominal ultrasound in blunt trauma: Is it useful?
A prospective evaluation of abdominal ultrasound in blunt trauma: Is it useful?
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DOI：
10.1097/00005373-199606000-00004
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发表时间：
1996-06-01
影响因子：
--
通讯作者：
Hoyt, DB
中科院分区：
文献类型：
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作者：
Healey, MA;Simons, RK;Hoyt, DB
目的：本研究的目的是评估腹部超声（US）在钝性创伤patients.Design的实用性和可行性：本前瞻性研究探讨了手术问题和超声诊断的准确性在选定的钝性创伤患者分流到一级创伤center.Materials和方法：所有患者均由主治创伤外科医生进行评估，并采用我们通常的腹部客观评估标准，US由US技术人员进行，并由创伤外科医生进行解释。我们前瞻性地评估了（到达时间），美国可以轻松地融入复苏将US结果与诊断性腹膜灌洗和计算机断层扫描结果、临床过程、手术结果进行比较，并重复US检查以确定灵敏度、特异性，测量和主要结果：在15个月内共进行了800项US研究，在4例（0.5%）中，由于技术原因，US不完整。其余796项研究的结果如下：[图表]到达美国的平均时间为17.3分钟（范围0-120），到达后开始的平均分钟数为7.0（范围1-49），进行研究所需的平均时间为10.6分钟（范围2-26）。结论：本研究表明，超声可以快速获得，整合到复苏中，快速完成，超声提供了一种高度准确的，非侵入性的方法来评估钝性创伤患者的腹部，并取代了本机构以前使用的方法。
Objective: The purpose of this study is to evaluate the utility and feasibility of abdominal ultrasound (US) in blunt trauma patients.Design: This prospective study examined the operational issues and the diagnostic accuracy of US in selected blunt trauma patients triaged to a Level 1 trauma center.Materials and Methods: All patients were evaluated by an attending trauma surgeon and our usual criteria for objective evaluation of the abdomen were applied, US was performed by US technicians and interpreted by the trauma surgeon. We prospectively evaluated the availability (time to arrival), the ease with which the US could be integrated into the resuscitation (minutes to start after arrival), and the time required to perform the study, The US results were compared to diagnostic peritoneal lavage and computed tomography findings, clinical course, operative findings, and to repeat US examinations to determine sensitivity, specificity, and usefulness.Measurements and Main Results: A total of 800 US studies were performed over 15 months, In four cases (0.5%), the US was incomplete for technical reasons. The results in the remaining 796 studies were as follows:[GRAPHICS]The average time to arrival of the US,vas 17.3 minutes (range 0-120) and the average minutes to start after arrival was 7.0 (range 1-49), The average time required to perform the study was 10.6 minutes (range 2-26).Conclusions: This study demonstrates that US can be obtained rapidly, integrated into the resuscitation, and completed quickly, US provides a highly accurate, noninvasive method to evaluate the abdomen in the blunt trauma patient, and has supplanted the previously used methods at this institution.