Blaivas M
Department of Emergency Medicine, North Shore University Hospital, 300 Community Drive, Manhasset, NY 11030, USA.
J Emerg Med. 2001 Jul;21(1):41-4. doi: 10.1016/s0736-4679(01)00322-5.
Bedside ultrasonography has been applied to the evaluation of blunt trauma patients for over a decade. The Focused Abdominal Sonography for Trauma (FAST) examination has been used to successfully triage blunt trauma patients. Although not traditionally thought to be as useful in penetrating trauma patients, ultrasound can help determine the extent of injury especially of the heart. We present two cases of multiple-stabbing victims who arrived at our Level I trauma center at the same time, when our trauma system was particularly overburdened by multiple consecutive traumas. The FAST examination helped us to accurately determine which of the two patients required operative intervention first, despite that patient's appearance of relative hemodynamic stability in comparison to the other stabbing victim.
床边超声检查应用于钝性创伤患者的评估已有十多年。创伤重点腹部超声（FAST）检查已被用于成功分诊钝性创伤患者。尽管传统上认为超声在穿透性创伤患者中作用不大，但它有助于确定损伤程度，尤其是心脏损伤的程度。我们报告两例多处刺伤患者，他们同时抵达我们的一级创伤中心，当时我们的创伤系统因连续多起创伤而负担过重。尽管其中一名刺伤患者与另一名相比外观上血流动力学相对稳定，但FAST检查帮助我们准确确定两名患者中哪一个需要首先进行手术干预。
