[X线评估在急诊外科的效能：Ⅰ级创伤中心的一项评估]
[Efficacy of x-ray assessment in emergency surgical departments: an evaluation in a level I trauma center].
作者信息
Ackermann O, Wetter A, Chelangattucherry E, Emmanouilidis I, Rülander C
机构信息
Abteilung für Orthopädie und Unfallchirurgie, Klinikum Duisburg GmbH, Zu den Rehwiesen 9-11, Duisburg, Germany.
出版信息
Unfallchirurg. 2011 Jan;114(1):41-6. doi: 10.1007/s00113-010-1755-2.
BACKGROUND
The aim of the study was to ascertain the state of the art in x-ray assessment in an emergency surgical department.
METHODS
From August 2008 to February 2009 a total of 1,588 plain x-rays of 658 patients from the emergency department were included in this study. The images were assessed by 3 experienced orthopedic surgeons and 1 experienced radiologist. The incidence of missed traumatic lesions and suspected lesions and the treatment of these patients were noted.
RESULTS
A total of 136 pathological cases with 238 pathological x-ray findings were found. The mean rate of missed lesions was 13% of the assessed cases. Despite the fact that the rate of missed lesions varied from 9-25% depending on the level of experience, all patients were treated adequately. The quality of x-ray assessment improved with the level of training of the individual doctors.
CONCLUSION
The present situation is in need of improvement but it is not critical. Junior medical staff should undergo a special training in x-ray assessment.
背景
本研究旨在确定急诊外科中X线评估的现状。
方法
2008年8月至2009年2月，本研究纳入了急诊科658例患者的1588张普通X线片。这些图像由3名经验丰富的骨科医生和1名经验丰富的放射科医生进行评估。记录漏诊创伤性病变和疑似病变的发生率以及这些患者的治疗情况。
结果
共发现136例病理病例，有238项病理X线表现。漏诊病变的平均发生率为所评估病例的13%。尽管漏诊率因经验水平而异，在9%至25%之间，但所有患者均得到了充分治疗。X线评估的质量随着医生个人培训水平的提高而改善。
结论
目前的情况需要改进，但并不危急。初级医务人员应接受X线评估方面的专门培训。
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