Testa A, Giannuzzi R, Zirio G, La Greca A, Silveri N Gentiloni
Department of Emergency Medicine, A. Gemelli University Hospital, Rome, Italy.
J Ultrasound. 2009 Mar;12(1):38-40. doi: 10.1016/j.jus.2008.12.006. Epub 2009 Jan 21.
We report a case in which ultrasonography (US) examination was used in the Emergency Department to reveal and diagnose gas contamination of a penetrating wound. Air microbubbles are extremely small and their typical distribution and movement are like those of "sparkling-wine microbubbles". US assessment of spontaneous disappearance of the air bubbles can distinguish a harmless traumatic nature of the wound from a life-threatening gas-producing bacterial infection.
我们报告了一例在急诊科使用超声检查来发现并诊断穿透伤气体污染的病例。空气微泡极小,其典型的分布和移动类似于“气泡酒微泡”。通过超声评估气泡的自然消失情况,可将无害的创伤性伤口与危及生命的产气细菌感染区分开来。