EMERGENCY CENTER ULTRASONOGRAPHY IN THE EVALUATION OF HEMOPERITONEUM - A PROSPECTIVE-STUDY

被引：167

作者：

KIMURA, A

OTSUKA, T

机构：

[1] Department of Emergency and Critical Care Medicine, Nippon Medical School, Tokyo

来源：

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE | 1991年 / 31卷 / 01期

关键词：

D O I：

10.1097/00005373-199101000-00004

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The reliability of ultrasonographic detection (US) of hemoperitoneum in blunt abdominal trauma was evaluated in a prospective study of 72 patients. Independent of the examiner, sensitivity, specificity, and accuracy were, respectively, 86.7%, 100%, and 97.2%. Laparotomy was indicated in 76.9% of US hemoperitoneum-positive cases. No negative laparotomies were performed in this study group. If hemoperitoneum is revealed in US and vital signs are unstable, we think laparotomy is indicated. We believe that US in an emergency center is a quick, safe screening method in the evaluation of blunt abdominal trauma. US might take over a great part of the role of diagnostic peritoneal lavage.

引用

页码：20 / 23

页数：4

共 15 条

[1] ECHOGRAPHIC EVALUATION OF SPLENIC INJURY AFTER BLUNT TRAUMA [J].