Comparison of thoracic ultrasound, clinical acumen, and radiography in patients with minor chest injury

被引：29
作者：
Rainer, TH
Griffith, JF
Lam, E
Lam, PKW
Metreweli, C
机构：
[1] Chinese Univ Hong Kong, Accid & Emergency Med Acad Unit, Shatin, Hong Kong, Peoples R China
[2] Chinese Univ Hong Kong, Dept Diagnost Radiol & Organ Imaging, Shatin, Hong Kong, Peoples R China
[3] Chinese Univ Hong Kong, Ctr Clin Trials & Epidemiol Res, Shatin, Hong Kong, Peoples R China
来源：
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE | 2004年 / 56卷 / 06期
关键词：
chest injury; diagnostic imaging; pain; trauma; ultrasonography; ultrasound; wounds; injuries;
D O I：
10.1097/01.TA.0000075800.65485.48
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
Background: This study was designed to compare ultrasonography, clinical findings, and radiography in the detection of rib and sternal fractures. Methods: In a prospective study, 88 patients presenting consecutively to an emergency department with isolated blunt chest injury of mild to moderate force were recruited. Results: Ultrasonography yielded a sensitivity of 80.3 (95% confidence interval [CI], 69.5-88.5) for detecting chest wall fractures compared with sensitivities of 26.0 (95% CI, 15.8-36.3) for clinical acumen and 23.7 (95% CI, 14.7-34.8) for radiography. Conclusion: Early ultrasonography is more accurate than clinical and radiologic evaluation at detecting rib and sternal fractures.
引用
收藏
页码：1211 / 1213
页数：3
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