Buzio M, Bertello A, Baù G, Mao P
Cattedra di Chirurgia d'Urgenza, Università degli Studi, Torino.
Minerva Chir. 2000 Jan-Feb;55(1-2):89-95.
During last 20 years ultrasonography has been widely used in Europe to investigate abdominal trauma. In United States it has not been considered a reliable test especially because of its lack of sensitivity in diagnosing parenchymal injuries. Recently American surgeons reconsidered ultrasonography in trauma and codified its use into FAST (Focused Assessment for the Sonographic examination of the Trauma patients). The goal is to detect hemoperitoneum and pericardial effusion. Advantages are remarkable: ultrasound is cost-effective, fast, non-invasive, can be performed by surgeons even on unstable patients. FAST is now included in ATLS framework for examination of thoraco-abdominal trauma.
在过去20年里，超声检查在欧洲已被广泛用于腹部创伤的检查。在美国，它一直未被视为一种可靠的检查方法，尤其是因为其在诊断实质性损伤方面缺乏敏感性。最近，美国外科医生重新考虑了超声检查在创伤中的应用，并将其使用规范为FAST（创伤患者超声检查的重点评估）。其目的是检测腹腔积血和心包积液。优点非常显著：超声检查性价比高、速度快、非侵入性，甚至外科医生也可对不稳定患者进行检查。FAST现已被纳入用于胸腹部创伤检查的ATLS框架中。
