在急诊和重症监护环境中对未受创伤的犬猫进行超声重点评估。
Focused assessment with sonography in nontraumatized dogs and cats in the emergency and critical care setting.
作者信息
McMurray Jantina, Boysen Søren, Chalhoub Serge
机构信息
Department of Veterinary Clinical and Diagnostic Sciences, Faculty of Veterinary Medicine, University of Calgary, Calgary, AB, T2N 4Z6, Canada.
出版信息
J Vet Emerg Crit Care (San Antonio). 2016 Jan-Feb;26(1):64-73. doi: 10.1111/vec.12376. Epub 2015 Oct 7.
OBJECTIVE
To evaluate the use of abdominal- and thoracic-focused assessment with sonography for trauma (AFAST and TFAST) in nontraumatized dogs and cats in the emergency and critical care setting and to compare prevalence of free fluid identified via these techniques between stable and unstable patients.
DESIGN
Prospective observational study.
SETTING
University Distributed Veterinary Learning Community.
ANIMALS
One hundred client-owned dogs and cats presenting to an emergency service with no evidence of trauma.
INTERVENTIONS
AFAST and TFAST performed within 12 hours of presentation.
MEASUREMENT AND MAIN RESULTS
Free fluid was identified on AFAST or TFAST in 33% of dogs and cats in this study. Free fluid was identified in 27 of 36 (75%) cardiovascularly unstable or dyspneic patients, compared to 6 of 64 (9%) stable patients. A significantly greater proportion of unstable patients had free fluid compared to stable patients (P < 0.0001).
CONCLUSIONS
Results of this study support the use of AFAST and TFAST to detect free fluid in nontraumatized dogs and cats in the emergency and critical care setting, particularly patients that are unstable on presentation.
目的
评估在急诊和重症监护环境下，对未受创伤的犬猫使用腹部和胸部创伤重点超声评估（AFAST和TFAST）的情况，并比较通过这些技术在稳定和不稳定患者中发现游离液体的患病率。
设计
前瞻性观察性研究。
地点
大学分布式兽医学习社区。
动物
100只无创伤证据的客户拥有的犬猫，前往急诊服务处就诊。
干预措施
在就诊后12小时内进行AFAST和TFAST检查。
测量和主要结果
在本研究中，33%的犬猫通过AFAST或TFAST发现了游离液体。在36例心血管不稳定或呼吸困难的患者中，有27例（75%）发现了游离液体，而在64例稳定患者中，只有6例（9%）发现了游离液体。与稳定患者相比，不稳定患者中发现游离液体的比例显著更高（P < 0.0001）。
结论
本研究结果支持在急诊和重症监护环境下，对未受创伤的犬猫使用AFAST和TFAST来检测游离液体，特别是就诊时不稳定的患者。
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