在儿科创伤中使用创伤超声重点评估的潜在陷阱。
A Potential Pitfall of Using Focused Assessment With Sonography for Trauma in Pediatric Trauma.
机构信息
Department of Emergency Medicine, Sections of Pediatric Emergency Medicine and Clinical Ultrasound, Medical College of Georgia, Augusta University, Augusta, Georgia, USA.
Center for Ultrasound Education, Medical College of Georgia, Augusta University, Augusta, Georgia, USA.
出版信息
J Ultrasound Med. 2019 Jun;38(6):1637-1642. doi: 10.1002/jum.14837. Epub 2018 Oct 7.
Prospective studies have shown sensitivities of 73% to 88% and specificities of 98% to 100% for using the focused assessment with sonography for trauma (FAST) examination to identify free fluid in adult trauma patients. However, the efficacy of FAST examinations for pediatric trauma patients has not been well defined, and studies looking at diagnostic performance have had varied results. We describe 3 cases of the potential pitfalls of the pediatric FAST examination in pediatric trauma patients using an advanced-processing ultrasound machine. We hypothesize several etiologies for these false-positive findings in the setting of advanced image-processing capabilities of point-of-care ultrasound. We also discuss the reevaluation of clinical algorithms and interpretation practices when using the FAST examination in pediatric trauma.
前瞻性研究表明，使用创伤重点超声评估（FAST）检查来识别成人创伤患者的游离液体，其敏感性为 73%至 88%，特异性为 98%至 100%。然而，FAST 检查在儿科创伤患者中的效果尚未得到很好的定义，并且研究其诊断性能的结果也各不相同。我们使用高级处理超声机描述了 3 例儿科创伤患者中儿科 FAST 检查潜在的陷阱。我们假设在即时护理超声的高级图像处理功能的情况下，这些假阳性发现有多种病因。我们还讨论了在儿科创伤中使用 FAST 检查时重新评估临床算法和解释实践的问题。
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