|
|
|
|
|
| Estimated value of FAST in the patients with severe multiple abdominal injury by emergency physician |
| Hu Shou-qin, Ding Guan-bao |
| Department of Emergency, Wanbei Coal-electricity Group General Hospital, Suzhou 234000, China |
|
|
|
|
Abstract Objective To analyze the estimated value of focused assessment with sonography for trauma (FAST) in the patients with severe multiple abdominal injury by emergency physician. Methods A total of 120 patients with severe multiple abdominal injury were taken as research objects in the emergency department of our hospital during January 2017 to May 2018. All the patients were detected by emergency physician with FAST and by ultrasound department with conventional ultrasonography on consultation. The diagnostic results of CT examination or surgical exploration were taken as gold standard. The inspection time, diagnostic results and diagnostic efficiency of FAST and conventional ultrasound was observed. Multivariate regression analysis was performed on the diagnostic efficiency of FAST. Results The inspection time of FAST and conventional ultrasound was (3.18±0.75) min, (10.54±4.26) min, respectively; and the inspection time of FAST was significantly shorter than that of conventional ultrasound (P<0.05). Thirty-six positive patients were confirmed by CT examination or surgical exploration, 31 positive patients and 89 negative patients by FAST, 32 positive patients and 88 negative patients by conventional ultrasonography, there was no statistically significant difference in the consistency of diagnostic results between FAST and conventional ultrasound (P>0.05). The sensitivity, specificity, accuracy of FAST was 86.11%, 100.00%, 95.83%, respectively and the sensitivity, specificity, accuracy of conventional ultrasonography was 88.89%, 100.00%, 96.67%, respectively; there was no statistically significant difference in diagnostic efficiency between FAST and conventional ultrasonography (P>0.05). Clinic time>1 h, multiple organ damage and work experience of emergency physician >5 years were independent factors which could affect the diagnostic efficiency of FAST (P<0.05). Conclusion Emergency physicians could use FAST to quickly and accurately evaluate patients with severe multiple abdominal injury. FAST could shorten rescue time and improve rescue timeliness.
|
|
|
|
|
|
| ［1］闫冬,付研,李大鹏,等.腹部创伤定点超声检查在急诊腹部闭合性创伤的应用［J］.临床外科杂志,2013,21(10):797-799.
［2］胡立江,张伟杰,田晶,等.腹部创伤定点超声检查对急诊腹部闭合性创伤的诊断价值［J］.现代生物医学进展, 2015, 15(15):2882-2884.［3］侯任昉,李和莅,黄丽.腹部创伤定点超声检查对急诊腹部闭合性创伤的临床诊断价值［J］.医学临床研究, 2017, 34(5):840-843.
［4］周未林,余智,吴兴妹,等.急诊床旁超声检查在多发伤评估及救治中的应用研究［J］.中国医师杂志, 2015,z1:58-60.
［5］O′Keeffe M, Clark S, Khosa F, et al. Imaging protocols for trauma patients: trauma series, extended focused assessment with sonography for trauma, and selective and whole-body computed tomography［J］.Semin Roentgenol, 2016, 51(3):130-142.
［6］纪亚军.急诊外科医师主导的急诊床旁超声E-FAST方案在多发伤救治中的临床价值［D］.河北医科大学,2017.
［7］林芙蓉.急诊床旁超声检查对评估及救治多发伤的临床应用价值［J］.医学信息, 2015,27:259.
［8］徐应臣,宋朝芳,赖全,等.创伤超声重点评估法在胸腹部闭合性损伤急救中的应用研究［J］.中国医师进修杂志, 2014, 37(26):6-9.
［9］Elbaih A, Ali M, Attia Y. Accuracy of predictive factors and focused assessment with sonography for trauma (FAST) in management of adult blunt abdominal trauma and its outcome in suez canal university hospital［J］.Intern J Surg Med, 2016, 2(2):58-63.
［10］徐涛,王喜安,张云山.便携式超声仪应用FAST 检查法快速诊断海战腹部闭合损伤中的应用“和平友谊2015”中马联合卫勤演练体会［J］.中国急救复苏与灾害医学杂志, 2016, 11(11):1067-1069. .
［11］王秀波,赵建明,杨军舰,等.DR与螺旋CT 诊断急诊胸腹部创伤中的临床应用价值分析［J］.中国CT和MRI杂志,2017,15(3):72-74.
［12］Ghafouri HB, Zare M, Bazrafshan A,et al.Diagnostic accuracy of emergency-performed focused assessment with sonography for trauma (FAST) in blunt abdominal trauma［J］.Electronic Physician, 2016, 8(9):2950-2953.
［13］陶杰,吴晓波,陈重,等.急诊床旁创伤重点超声评估结合区域脏器重点超声检查在闭合性腹部创伤中的应用［J］.中华创伤杂志,2014,30(2):138-141. |
|
|
|
Address: 1 North 2nd Street,
Zhongguancun, 
