ICU床旁B超对气胸的诊断价值.pdfVIP

ICU床旁B超对气胸的诊断价值

ICU床旁B超对气胸的诊断价值摘［要］目的探讨在

ICU病房中床旁B超对气胸诊治中的临床应用价值。

法对我院ICU收治的怀疑气胸患者76例，均进行床旁B

超、平卧位胸部X片、胸部CT检查。

以胸部CT检查为诊断气胸的金标准。

对比床旁B超及胸部X线片对气胸的敏感性、特异性、阳性预

料值、阴性预料值、精确度。

结果B超、X线、CT在诊断上差异无统计学意义，B超与X光

在敏感性、特异性、阳性预料值、阴性预料值、精确度上无差异。

但是B超在所需时间上与X光及CT差异有统计学意义。

结论床旁B超与胸部X线片检查在对于诊断气胸无显著差

异，但床旁B超具有快捷、便利、实时的特点，所以值得临床推广。

关［键词］床旁B超；气胸；ICU；CT；胸片［中图分

类号］R445.1文［献标识码］B［文章编号］2095-0616(2016)

09-155-04A［bstract］ObjectiveToexploreanddiscussthe

clinicalapplicationvalueofbedsideB-modeultrasoundinICU

fordiagnosingandtreatingpneumothorax.Methods76patients

withsuspiciouspneumothoraxinthehospitalsICUwereexamined

bybedsideB-modeultrasound,supinechestX-rayandthoracic

CT.ThethoracicCTexaminationwasthegoldstandardfor

diagnosingpneumothorax.Thesensitivity,specificity,positive

predictivevalue,negativepredictivevalueandaccuracyof

pneumothoraxwerecomparedbetweenbedsideB-modeultrascund

andchestX-ray.ResultsTherehadnostatisticaldifferences

amongB-modeultrasound,X-rayandCTindiagnosis,the

sensitivity,specificity,positivepredictivevalue,negative

positivevalueandaccuracyofB-modejltrasoundandX-rayhad

nodifferences.ButthetimerequiredofB-modeultrasoundand

X-rayhadstatisticallysignificantdifference.Conclusion

TherehadnosignificantdifferencesbetweenbedsideB-mode

ultrasoundandchestX-rayexaminationfordiagnosing

pneumothorax,butbedsideB-modeultrasoundhadthefast,

convenientandreal-timecharacteristics,whichwasfurther

worthyofclinicalpromotion.[Keywords]BedsideB-mod

ultrasound；Pneumothorax；ICU；CT；Chestradiogra