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[超声检查在重症监护病房急性腹痛诊断中的相关性]

[The relevance of sonography in the diagnosis of acute abdomen in the intensive care unit].

作者信息

Crone-Münzebrock W, Wegener C, Nicolas V, Pothmann W

机构信息

Abteilung für Röntengdiagnostik, Universitätskrankenhaus Hamburg Eppendorf.

出版信息

Rofo. 1990 Oct;153(4):379-84. doi: 10.1055/s-2008-1033399.

DOI:10.1055/s-2008-1033399
PMID:2171081
Abstract

This study included 414 unselected sonographic examinations of the abdomen of patients in intensive care complaining of acute abdominal symptoms. Examinations of adequate quality showed a sensitivity of 88.8%, a specificity of 76.3% and an accuracy of 83.7%. Even when allowing for examination which could not be evaluated because of the presence of scars, bandages or air, there was a sensitivity of 72.9% and an accuracy of 74.2%. Sonography is therefore the examination of first choice. In a quarter of all cases, however, computer tomography examination was also necessary.

摘要

本研究纳入了414例重症监护病房中主诉急性腹部症状患者的腹部超声检查,这些检查未经过筛选。质量合格的检查显示,其敏感性为88.8%,特异性为76.3%,准确性为83.7%。即便将因存在疤痕、绷带或气体而无法评估的检查考虑在内,敏感性仍为72.9%,准确性为74.2%。因此,超声检查是首选的检查方法。然而,在所有病例中,仍有四分之一的情况需要进行计算机断层扫描检查。

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