Niebuhr H, Nahrstedt U, Seide K, Rückert K
Chirurgische Abteilung, Allgemeines Krankenhaus Heidberg.
Unfallchirurg. 1992 Jul;95(7):319-23.
Based on the results of a prospective trial to establish the value of routine ultrasound examination in cases of polytrauma or blunt abdominal trauma, we report on our standard ultrasound examination and computer assisted documentation of the findings. Between May 1988 and December 1990 we examined 233 patients with polytrauma or blunt abdominal trauma. The results were compared with those of abdominal lavage (n = 47) performed during the same period. We found a sensitivity of 100% and a specificity of 99.5% for the ultrasound findings and a sensitivity of 80% and a specificity of 100% for the abdominal lavage. We conclude that ultrasonography should be the first diagnostic procedure used in the emergency room in cases of polytrauma and blunt abdominal trauma.
基于一项前瞻性试验的结果，该试验旨在确定常规超声检查在多发伤或钝性腹部创伤病例中的价值，我们报告了我们的标准超声检查以及对检查结果的计算机辅助记录。在1988年5月至1990年12月期间，我们检查了233例多发伤或钝性腹部创伤患者。将结果与同期进行的腹腔灌洗（n = 47）结果进行比较。我们发现超声检查结果的敏感性为100%，特异性为99.5%；腹腔灌洗的敏感性为80%，特异性为100%。我们得出结论，在多发伤和钝性腹部创伤病例中，超声检查应成为急诊室使用的首要诊断程序。
