在重创中,E-FAST检查的缺点是:逆皮层出血
Bahri Ogulcan Tabak1, Dicle Bulak1, Busra Bildik1
1Department of Emergency Medicine, Faculty of Medicine, Karabuk University, Karabuk, Turkiye.
The American journal of emergency medicine
|March 6, 2026
概括
用超声波对创伤 (E-FAST) 进行扩展的集中评估可能会忽略形创伤患者的形血管损伤. 早期对比度增强CT对于诊断这些关键损伤至关重要,特别是在高能量的机制.
科学领域:
- 紧急医疗 紧急医疗
- 放射学 放射学是一门学科.
- 创伤外科 手术 创伤外科
背景情况:
- 用超声波对创伤进行扩展集中评估 (E-FAST) 是评估重创伤患者的标准工具.
- E-FAST主要有效检测腹腔内液体,但在识别背腹腔内损伤方面存在局限性.
研究的目的:
- 为了突出E-FAST在诊断体后血管损伤时的局限性.
- 强调早期对比增强CT在血液动力学不稳定的患者的重要性.
主要方法:
- 案例报告:一名53岁的男性在机动车碰撞后受到了重的创伤.
- 进行了连续的E-FAST检查,随后进行了对比增强计算机断层扫描 (CT).
主要成果:
- 最初的E-FAST检查结果对自由液体呈阴性.
- 与对比度增强的CT显示了一种孤立的左静脉撕裂,带有大量的逆皮质血瘤.
- 病人经历了快速恶化和心脏骤停.
结论:
- 负的E-FAST发现并不排除在重创伤中显著的后血管损伤.
- 仅仅依赖E-FAST可以延迟高能创伤和血液动力学不稳定的诊断.
- 在这种情况下,应强烈考虑早期对比度增强CT.
相关概念视频
01:22Esophageal Perforation-I: Introduction
688
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
688
01:29Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
578
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
578
01:26Flail Chest-II
770
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
770