床旁超声检查：诊断创伤性气胸的有用工具
Bedside Ultrasonography: AUseful Tool for Traumatic Pneumothorax.
作者信息
Mumtaz Uzma, Zahur Zainab, Chaudhry Muhammad Amjad, Warraich Riaz Ahmed
机构信息
Sciences, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad.
Department of Radiology, Pakistan Atomic Energy Commission General Hospital, Islamabad.
出版信息
J Coll Physicians Surg Pak. 2016 Jun;26(6):459-62.
OBJECTIVE
To compare the diagnostic accuracy of bedside ultrasound and supine chest radiography for the diagnosis of traumatic pneumothorax.
STUDY DESIGN
Analytical study.
PLACE AND DURATION OF STUDY
PIMS and PAEC General Hospital, Islamabad, from November 2014 to August 2015.
METHODOLOGY
Patients coming to emergency departments of the study centres, who had sustained chest injuries, were inducted. Their portable bedside ultrasound and supine chest radiographs were taken for assessing pneumothorax and subsequently CTchest was done for confirmation as gold standard.
RESULTS
Based on CTfindings, sensitivity for ultrasonography and chest radiography was found to be 83.33% and 54.76%, respectively and specificity of 100% for both modalities.
CONCLUSION
Ultrasound can be used as a useful and suitable adjunct to CTin trauma patients as it is easily available, non-invasive, bedside, easily examined with no radiation risk.
目的
比较床旁超声与仰卧位胸部X线摄影对创伤性气胸的诊断准确性。
研究设计
分析性研究。
研究地点及时间
2014年11月至2015年8月于伊斯兰堡的巴基斯坦医学科学研究所（PIMS）和巴基斯坦武装部队总医院（PAEC General Hospital）。
方法
纳入前往研究中心急诊科且胸部受伤的患者。拍摄其床旁便携式超声和仰卧位胸部X线片以评估气胸情况，随后进行胸部CT检查作为金标准以确诊。
结果
基于CT检查结果，超声检查和气胸X线检查的敏感性分别为83.33%和54.76%，两种检查方式的特异性均为100%。
结论
超声可作为创伤患者CT检查的一种有用且合适的辅助手段，因为它易于获得、无创、可在床旁进行、易于检查且无辐射风险。
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