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超声在战区的应用:一名妇科医生在伊拉克自由行动/持久自由行动中的经验

Utility of ultrasound in the combat theater: experiences of a gynecologist during Operation Iraqi Freedom/Operation Enduring Freedom.

作者信息

Albright Todd S, Gehrich Alan P, Wright Johnnie, Lettieri Christine F, Dunlow Susan G, Buller Jerome L

机构信息

Department of Obstetrics and Gynecology, Walter Reed Army Medical Center, Washington, DC 20307, USA.

出版信息

Mil Med. 2007 May;172(5):507-10. doi: 10.7205/milmed.172.5.507.

DOI:10.7205/milmed.172.5.507
PMID:17521099
Abstract

OBJECTIVE

The purpose of this study was to evaluate the utility of ultrasound in a combat theater.

METHODS

A retrospective review of gynecology visits was evaluated at Camp Doha, Kuwait, from August 2003 through April 2004. Of the 1,737 visits, 237 required pelvic ultrasound. Demographic information, as well as the indications, diagnosis, and disposition of the patients, was compiled.

RESULTS

The average age of the patient requiring ultrasound was 28 +/- 8 years. The primary presenting complaint was pelvic pain. Forty percent with pelvic pain had no identifiable cause. The most common final diagnosis was pregnancy. Of the 237 visits, the use of ultrasound resulted in 136 return-to-duty dispositions. Of the 31% who were administratively redeployed, the majority were secondary to pregnancy.

CONCLUSION

Gynecologic ultrasound was found to be a very useful tool in the combat theater. Ultrasound resulted in improved diagnostic ability and enhanced reassurance to both provider and patient.

摘要

目的

本研究旨在评估超声在战区的效用。

方法

对2003年8月至2004年4月在科威特多哈营地进行的妇科就诊情况进行回顾性评估。在1737次就诊中,237次需要进行盆腔超声检查。收集了人口统计学信息以及患者的指征、诊断和处置情况。

结果

需要超声检查的患者平均年龄为28±8岁。主要就诊主诉为盆腔疼痛。40%有盆腔疼痛的患者病因不明。最常见的最终诊断是妊娠。在237次就诊中,超声检查使得136名患者恢复执勤。在31%被行政重新部署的人员中,大多数是由于妊娠。

结论

妇科超声被发现是战区非常有用的工具。超声提高了诊断能力,并增强了医护人员和患者的信心。

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