ULTRASONOGRAPHY FOR THE EVALUATION OF HEMOPERITONEUM DURING RESUSCITATION - A SIMPLE SCORING SYSTEM

被引：94

作者：

HUANG, MS ^{[1
]}

LIU, M ^{[1
]}

WU, JK ^{[1
]}

SHIH, HC ^{[1
]}

KO, TJ ^{[1
]}

LEE, CH ^{[1
]}

机构：

[1] NATL YANG MING MED COLL,DEPT SURG,TAIPEI,TAIWAN

来源：

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE | 1994年 / 36卷 / 02期

关键词：

D O I：

10.1097/00005373-199402000-00003

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

To assess the need for therapeutic laparotomy in patients with blunt abdominal trauma (BAT), ultrasonography (US) and a simple US scoring system were used to estimate the amount of hemoperitoneum during resuscitation. In group I (BAT with a US score greater-than-or-equal-to 3), 24 of 25 patients (96%) required therapeutic laparotomy. In group II (BAT with a US score < 3), therapeutic laparotomy was required in only 9 of 24 patients (38%); nonsurgical treatment may be justified in hemodynamically stable patients. Appropriate decisions can be made to perform urgent laparotomy when intra-abdominal bleeding is the culprit in BAT patients. Unnecessary laparotomy can be avoided when the major site of blood loss is not in the abdomen. Ultrasonography, an initial rapid screening procedure in BAT patients, is useful for trauma surgeons in decision making during resuscitation.

引用

页码：173 / 177

页数：5

共 25 条

[1] CONSERVATIVE TREATMENT OF LIVER TRAUMA [J].