Guttman Joshua, Stone Michael B, Kimberly Heidi H, Rempell Joshua S
*Emergency Medicine Residency Program,McGill University Health Centre,Montreal,QC.
†Division of Emergency Ultrasound,Department of Emergency Medicine,Brigham and Women's Hospital,Boston,MA.
CJEM. 2015 Mar;17(2):206-9. doi: 10.2310/8000.2014.141382.
Small bowel obstruction (SBO) is a common cause of acute abdominal pain presenting to the emergency department (ED). Although the literature is limited, point-of-care ultrasonography (POCUS) has been found to have superior diagnostic accuracy for SBO compared to plain radiography; however, it is rarely used in North America for this. We present the case of a middle-aged man who presented with abdominal pain where POCUS by the emergency physician early in the hospital course expedited the diagnosis of SBO and led to earlier surgical consultation. The application of POCUS for SBO is easily learned and applied in the ED. POCUS for SBO may obviate the need for plain radiography and expedite patient care.
小肠梗阻（SBO）是急诊科急性腹痛的常见病因。尽管相关文献有限，但与普通X线摄影相比，床旁超声检查（POCUS）对SBO具有更高的诊断准确性；然而，在北美，这种检查很少用于此目的。我们报告了一例中年男性患者，其因腹痛就诊，在住院早期由急诊医生进行的床旁超声检查加速了小肠梗阻的诊断，并促使更早地进行了外科会诊。床旁超声检查在小肠梗阻中的应用易于在急诊科学习和应用。小肠梗阻的床旁超声检查可能无需普通X线摄影，并加快患者的治疗。
