The Role of Emergency Bedside Ultrasonography in Early Diagnosis of Patients with Acute and Severe Thoracic and Abdominal Trauma
Objective:To evaluate the role of emergency bedside ultrasound in the early diagnosis of patients with acute and severe thoracic and abdominal trauma.Methods:From February 2022 to February 2024,80 patients with severe acute thoracic and abdominal trauma were included in the Eighth People's Hospital of Panyu District,Guangzhou.Bedside ultrasound and computed tomography(CT)were per-formed.The surgical results,diagnostic time,diagnostic efficiency and diagnostic coincidence rate were evaluated according to the surgical results.Results:(1)Of the 80 suspected cases,71 cases were diag-nosed as acute and severe thoracic and abdominal trauma,and the top four were traumatic pleural effu-sion(27.50％),traumatic pneumothorax(16.25％),spleen injury(12.50％)and liver injury(11.25％).(2)Compared with CT,the diagnostic time of bedside ultrasound was shorter,P＜0.05.(3)The accuracy,specificity and sensitivity of bedside ultrasound were 83.75％,66.67％and 85.92％,which were not differ-ent from those of CT 91.25％,77.78％and 92.96％,P＞0.05.(4)There was no difference in the coinci-dence rate of bedside ultrasound and CT in the diagnosis of specific injury types in patients with acute and critical thoracic trauma,P＞0.05.Conclusion:Bedside ultrasound and CT have the same diagnostic ef-ficiency and diagnostic coincidence rate in the early diagnosis of acute and critical thoracic and abdomi-nal trauma,but the former is faster in diagnosis,and is more helpful to the rapid and accurate diagnosis and treatment of acute and critical thoracic and abdominal trauma patients,and has clinical reference sig-nificance.
critical illnesschest and abdominal traumaearly diagnosisemergency treatmentbedside ultrasound
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