胸部和腹部刺伤损伤中的超声波:FETTHA研究的结果
Donia Bouzid1,2,3,4, Alexy Tran-Dinh1,5,6, Brice Lortat-Jacob5
1Université Paris Cité, Paris, France.
Emergency medicine journal : EMJ
|September 6, 2023
概括
在创伤中使用超声波进行扩展聚焦评估 (eFAST) 显示,在刺伤患者中诊断肺胸部和血液皮质瘤的敏感性有限. 然而,eFAST在检测心脏吸管和血胸部时表现出很高的准确性.
科学领域:
- 紧急医疗 紧急医疗
- 创伤外科 手术 创伤外科
- 诊断成像 诊断成像 诊断成像
背景情况:
- 在创伤中使用超声波进行扩展焦点评估 (eFAST) 对重创伤至关重要,但在刺伤方面缺乏研究.
- 在干刺伤中评估eFAST的性能对于优化创伤护理至关重要.
研究的目的:
- 评估eFAST在患有胸部或腹部刺伤的患者的诊断准确性.
- 为了比较eFAST发现与CT扫描结果在这个患者群体.
主要方法:
- 对200名胸部刺伤患者的前性研究 (2016年12月至2018年).
- 通过eFAST进行初步评估,然后进行CT扫描,除非不稳定或eFAST阳性表明立即手术.
- 使用eFAST的性能指标 (灵敏度,特异性,PPV,NPV) 与CT扫描作为参考标准进行计算.
主要成果:
- 在不稳定的患者中,eFAST正确识别了9例心脏吸管病例中的9例,这些病例需要立即手术.
- 对于肺胸部检测,eFAST的灵敏度为77%,特异性为93%.
- 对于血液胸部检测,eFAST的灵敏度为97%,特异性为96%.
- 对于血液皮质检测,eFAST的灵敏度为75%,特异性为97%.
结论:
- eFAST对血液胸部高度敏感,对干刺伤中心脏吸管非常准确.
- 在这种情况下,eFAST的灵敏度不足以诊断肺胸部和血.
- 需要进行更多的多中心研究,以确定eFAST在治疗干刺伤方面的确切作用.
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