用超声波对创伤进行集中评估 (FAST)
Paulo Savoia1, Shri Krishna Jayanthi1, Maria Cristina Chammas1
1Department of Radiology, Institute of Radiology, University of Sao Paulo School of Medicine Clinics Hospital, São Paulo, Brazil.
Journal of medical ultrasound
|August 14, 2023
概括
创伤性超声波 (FAST) 的聚焦评估超声波协议可以快速检测创伤患者的内部出血. 它指导了不稳定的患者的立即手术干预,补充了稳定的个体的CT扫描.
科学领域:
- 紧急医疗 紧急医疗
- 诊断成像 诊断成像 诊断成像
- 创伤外科 手术 创伤外科
背景情况:
- 低血压性休克是创伤死亡的主要原因.
- 身体检查在检测内部出血方面存在局限性.
- 计算机断层扫描 (CT) 是有效的,但对于不稳定的患者来说往往是无法获得的.
研究的目的:
- 为了突出重点评估与超声波创伤 (FAST) 协议的实用性.
- 强调FAST作为一个快速的,便携式的,护理点超声波用于创伤评估.
- 讨论FAST和扩展FAST (e-FAST) 的指示,方法和局限性.
主要方法:
- 该FAST协议检查了四个区域:心周,右上象限,左上象限和骨盆.
- 该e-FAST协议扩展了对肺胸和血胸的肺腔空间的评估.
- 超声波被用作床边的快速,非侵入性诊断工具.
主要成果:
- 快速/e-快速提供快速的"是"或"不"的答案,以发现出血的存在.
- 它对于识别血心脏,血,血胸和肺胸非常重要.
- 该协议指导了血液动力学不稳定的患者的即时管理决策.
结论:
- 快速/e-FAST是创伤评估的重要床边工具,特别是对于不稳定的患者.
- 在不稳定的患者中,积极的FAST结果需要立即转移到手术室.
- 对于需要进一步评估的血液动力学稳定的患者,建议进行CT扫描.
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