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目的:探讨急诊超声检查在腹部闭合性损伤诊断中的应用价值。方法:对我院102例腹部闭合性损伤患者进行急诊超声检查,观察腹部脏器声像图有无异常改变,并重视观察腹腔内有无游离液体及气体。结果:所有患者均经CT检查或手术证实,超声诊断总体符合率85.3%(87/102),其中实质性脏器损伤93例,空腔脏器损伤9例,实质性脏器损伤诊断符合率明显高于空腔脏器损伤(89.2%vs44.4%,P<0.01)。结论:对腹部闭合性损伤尤其是实质性脏器损伤,急诊超声检查诊断符合率高,具有较好的临床应用价值。
Objective: To investigate the value of emergency ultrasonography in the diagnosis of closed abdominal injury. Methods: 102 cases of patients with abdominal closed injury in our hospital for emergency ultrasound examination to observe the abnormal changes of abdominal organs sonography, and attach importance to observe the presence or absence of intra-abdominal fluid and gas. Results: All patients were confirmed by CT examination or surgery. The overall coincidence rate of ultrasonic diagnosis was 85.3% (87/102), including 93 cases of substantial organ injury, 9 cases of hollow organ injury, and the diagnostic accuracy of substantial organ injury Was significantly higher than that of hollow organ (89.2% vs44.4%, P <0.01). Conclusion: It is of high clinical value to diagnose the closed abdominal injury, especially the substantive organ injury and the diagnosis of emergency ultrasonography.