CT与急诊床边超声对创伤患者腹部损伤诊断的时效对比研究.pdf

临床 医学 医学信息2014年10月第27卷第 10期（4）MedicalInformation.Oct.2014.Vol.27. No. 10 CT与急诊床边超声对创伤患者腹部损伤诊断的时效对比研究 范惠敏 (内江市东兴区人民医院超声科袁四川 内江 641100) 摘要院目的通过对比床边超声和CT在创伤患者腹部损伤中的诊断效果袁探索出适用于腹部损伤诊断的措施遥方法重症患者治疗时袁必须秉承先抢救或抢救检查同时进行的原则遥进入急救 室后袁为患者提供心电监护尧建立静脉通路尧提供吸氧等相关处理遥根据患者病情程度袁在抢救过程中对其进行检查袁如果存在腹部脏器受损袁应及时提供床边腹部超声或腹部CT检测遥结果 使用床边超声诊断患者在检查前所需时间和报告获取时间方面都较使用CT检测患者少袁且 0.05袁具有统计学意义遥在检查花费时间方面超声诊断比CT检测时间长袁总过程所需时间超 声检测小于CT组袁 0.05袁具有统计学意义遥 在检测结果方面两种检测方法无明显差异遥 结论对腹部损伤创伤患者治疗确诊过程中袁若患者急需确诊实施手术袁则更适合采取床边超声检 测遥 所以袁实际工作中应提高对黄金1h的重视袁最大限度压缩救治各过程的时间袁保证患者救治成功率遥 关键词院腹部损伤曰床边超声曰急诊曰CT CTDiagnosis andEmergencyBedsideUltrasoundinPatientswithTraumaticAbdominalInjuryofAging FANHui-min (DepartmentofUltrasound,Dongxin DistrictPeoples Hospital,Neijiang641100,Sichuan,China) Abstract：Objective Bycomparing the bedside ultrasound and CTin the diagnosis of patients with traumatic abdominal injury effect, explore measures suitablefor the diagnosis of abdominal injury. Methods Critically ill patients, must check at the sametime adhering to save or rescue principle.After entering the emergency room, to provide patientswith ecg monitoring, establish venous access, provide oxygen and related processing.According to the degree of patients, in the rescue process to check, if there are abdominal viscera damage, to provide timely bed abdominal ultrasound or abdominal CT detection.Results Using bedside ultrasound diagnosis patients before inspection need time and report to get less time in all patients with CT were used to detect, and 约0.05, with statistical significance.Duringthe inspection time in ultrasonic diagnosisthan CTtesting time is long, the total process time needed for ultrasonic testing is less than CT group, 约0.05, with statistical significance.Inthe aspect of test results no difference betwee