在ICU应用超声诊断危重病人气胸的临床评价.docVIP

在ICU应用超声诊断危重病人气胸的临床评价 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：在ICU应用超声诊断危重病人气胸的临床评价 1 1 资料与方法 3 1．1 一般资料 3 1．2 方法 3 1．3 统计学处理 4 2 结果 4 3 讨论 5 文2：在ICU应用超声诊断危重病人气胸的临床评价 7 1 资料与方法 9 1．1 一般资料 9 1．2 方法 9 1．3 统计学处理 10 2 结果 10 3 讨论 11 参考文摘引言： 13 原创性声明（模板） 14 文章致谢（模板） 15 正文 在ICU应用超声诊断危重病人气胸的临床评价 文1：在ICU应用超声诊断危重病人气胸的临床评价 Abstract： Objective To discuss the feasibility and the value of ultrasonography for the detection of pneumothorax in critically ill patients in Its a prospective, doubleblinded and controlled study. From Sep. 2005 to Jul. 2006, 95 critically ill patients admitted to emergency ICU were enrolled, and bedside thoracic ultrasonography was performed. Pneumothorax was diagnosed when the sig measured up to standard. Chest CT scan and bedside radiography were done within three hou. The result of CT was regarded as a golden standard, and the values of ultrasonography and radiography were compared with it. Results In the 95 cases, pneumothorax existed in 27 hemithoraces of 24 patients by CT, in 23 hemithoraces of 24 patients by ultrasonography, and only in five hemithoraces of four patients by radiography. The corresponding data of seitivity, specificity, positive predictive value, negative predictive value and accuracy by ultrasonography vs radiography were % vs % (P), % vs 100% (P=), % vs 100%(P=), % vs % (P=) and % vs % (P=).Coistency of the results between ultrasonography and CT was higher than that between radiography and CT. Conclusion Ultrasonography has higher seitivity and specificity in the detection of pneumothorax in ICU, and it acts as an easy, rapid, safe and effective detection of pneumothorax for critically ill patients. Key words： pneumothorax; ultrasonography; critically ill patient 2005年9月—2006年7月，我们在ICU应用床旁超声对收治的95例危重病人进行检查，并以床旁X片和CT为对照，探讨其对危重病人气胸诊断的价值。 1 资料与方法 1．1 一般资料 2005年9月—2006年7月，本院ICU收治的危重病人，排除未能完成CT检查者，共计95例，其中男86例，女9例；年龄12~79岁，平均（47±16）岁。基础疾病构成：以多发性创伤为主，共85例，其中有明确的胸部外伤42例；严重肺部感染2例；脑血