[腹部和颅脑损伤多发伤患者诊断性检查的预测价值]

[Predictive value of diagnostic tests in polytrauma patients with abdominal and craniocerebral injuries].

作者信息

Păunescu V, Coman Teodora

机构信息

Clinica Chirurgie Generală, Spitalul Clinic de Urgenţă Bagdasar-Arseni, Bucureşti.

出版信息

Chirurgia (Bucur). 2004 Nov-Dec;99(6):545-55.

PMID:15739673

Abstract

In a study on 1024 polytrauma patients with craniocerebral injury, abdominal injury was present in 206 (20.11%) of them. In order to identify the intraabdominal organs injury, physical examination and specific diagnostic tests will be used. Their value was calculated by means of informational indices. The main indices, sensitivity, positive predictive value and accuracy were: for physical examination = 81.06%, 90.3%, 94.72%; for peritoneal lavage = 94.17%, 95.12%, 97.94%; for abdominal computed tomography = 98.44%, 97.65% and 99.25%. As one might expect the abdominal computed tomography is the most accurate method for the diagnosis of intraabdominal organs injuries.

摘要

在一项针对1024例颅脑损伤多发伤患者的研究中，其中206例（20.11%）存在腹部损伤。为了识别腹内器官损伤，将采用体格检查和特定的诊断测试。通过信息指数计算它们的价值。主要指数、敏感性、阳性预测值和准确性分别为：体格检查=81.06%、90.3%、94.72%；腹腔灌洗=94.17%、95.12%、97.94%；腹部计算机断层扫描=98.44%、97.65%和99.25%。正如人们所预期的那样，腹部计算机断层扫描是诊断腹内器官损伤最准确的方法。