在超声波中排除与新手一起溺水 (DROWN)
Stewart Russ Richardson1, Jacob Pope1, Leslie B Hart2
1Department of Emergency Medicine Grand Strand Medical Center Myrtle Beach South Carolina USA.
概括
护理中心肺部超声波显示,在非致命溺水事件后检测肺胀的准确度中等. 这种成像技术可以识别急诊室患者的间歇性,有助于早期诊断.
科学领域:
- 紧急医疗 紧急医疗
- 放射学 放射学是一门学科.
- 关键的护理关键的护理
背景情况:
- 非致命的溺水导致显著的发病率和死亡率.
- 胸部放射 (CXR) 是肺的标准查工具,但在潜水后早期检测方面存在局限性.
- 以前没有研究过肺部超声波来评估溺水事件后的肺.
研究的目的:
- 评估肺部点护理 (POC) 超声波在识别非致命溺水事件后患者间歇性瘤的实用性.
- 在这个患者群体中,将肺POC超声波的诊断性能与胸部放射 (CXR) 进行比较.
主要方法:
- 一项前性研究招募了59名患者 (成人和儿童),他们在潜水事件后来到急诊室.
- 紧急医疗人员对新手肺部进行了POC超声波解释.
- 超声检查结果与CXR结果进行了比较,并对患者进行了晚期痕的跟踪.
主要成果:
- 在59名患者中,有24名 (41%) 患有CXR异常. 肺部超声波检测到肺,与CXR相比,其灵敏度为83%,特异性为66%.
- 在35名阴性CXR患者中,12名 (34%) 的肺超声检查结果呈阳性,其中10人需要住院治疗.
结论:
- 肺部POC超声波,即使是初学者解读,也显示出适度的灵敏度和特异性,用于检测非致命溺水病例的肺,并向急诊室提交.
- 这表明肺部超声波在早期评估溺水受害者中是一个有价值的辅助.
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