焦点评估与超声波在创伤 (FAST) 作为预后工具在的腹部创伤:一个前性的观察性研究
Daniel E1, Srinivasan C1, Karthikeyan Selvaraj1
1Department of General Surgery, Sree Balaji Medical College and Hospital, Chennai, IND.
Cureus
|October 27, 2025
概括
用超声波对创伤进行集中评估 (FAST) 有效地预测了的腹部创伤 (BAT) 患者的结果. 阳性FAST扫描表明手术,ICU入院,发病率和死亡率的风险较高,指导早期患者管理.
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:
- 形腹部创伤 (BAT) 是全球死亡和残疾的主要原因.
- 用超声波对创伤进行集中评估 (FAST) 是初始诊断的标准,但其预后价值需要澄清.
研究的目的:
- 评估FAST在预测腹外伤患者的临床结果方面的预后能力.
- 评估FAST结果与关键患者结局之间的相关性.
主要方法:
- 在第三级创伤中心对80名BAT患者进行前性观察性研究.
- 在入院时进行FAST;CT作为诊断的黄金标准.
- 统计分析FAST结果与手术干预,ICU住院,发病率,死亡率和住院时间相比.
主要成果:
- 与CT相比,FAST表现出高准确度 (灵敏度79.1%,特异性94.6%).
- FAST阳性患者的手术率 (72.2%),ICU入院率 (50%),发病率 (38.9%) 和死亡率 (13.9%) (p<0.001) 显着更高.
- 对于FAST阳性患者来说,住院时间明显长 (10.2 vs 6.1天,p<0.001).
结论:
- 用超声波对创伤进行集中评估 (FAST) 作为一项有效的预后工具,用于突腹部创伤.
- 积极的FAST结果与不良结果密切相关,支持早期分拣和资源分配.
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