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地区医院急诊科与放射科的合作提高了初始诊断准确性:一项病例系列描述性研究。

Collaboration Between Emergency Medicine and Radiology in Regional Hospitals Improves Initial Diagnosis Accuracy: A Descriptive Study With Case Series.

作者信息

Shinohara Natsuyo, Nakamura Shunsuke, Maruyama Takumu, Ohno Ryo, Honda Osamu

机构信息

Department of Emergency Medicine, Okayama Rosai Hospital, Okayama, JPN.

Department of Radiology, Okayama Rosai Hospital, Okayama, JPN.

出版信息

Cureus. 2025 Mar 3;17(3):e79940. doi: 10.7759/cureus.79940. eCollection 2025 Mar.

DOI:10.7759/cureus.79940
PMID:40177445
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11962672/
Abstract

Imaging plays a critical role in emergency medicine, and effective communication between radiologists and emergency physicians is essential for accurate diagnoses. Timely and accurate interpretation of imaging is particularly vital in critical cases. This case series highlights three emergency cases that emphasize the importance of timely imaging and interdepartmental collaboration. Case 1 is a 63-year-old woman with diabetic ketoacidosis and shock, where imaging revealed pancreatitis and hemoperitoneum. Case 2 is a 72-year-old male patient diagnosed with strangulated ileus via CT, leading to prompt surgical intervention. Case 3 is a 92-year-old female patient who had multiple problems, where imaging revealed pulmonary embolism, cerebral infarction, and suspected appendiceal cancer. Effective communication between emergency physicians and radiologists is paramount for enabling rapid and accurate diagnoses, ultimately improving patient care. Strengthening this collaboration reduces stress among healthcare professionals and enhances emergency care, particularly in resource-limited hospitals.

摘要

影像学在急诊医学中起着关键作用,放射科医生与急诊医生之间的有效沟通对于准确诊断至关重要。在危急病例中,及时准确地解读影像学结果尤为重要。本病例系列突出了三个急诊病例,强调了及时进行影像学检查和跨部门协作的重要性。病例1是一名63岁患有糖尿病酮症酸中毒和休克的女性,影像学检查显示胰腺炎和腹腔积血。病例2是一名72岁男性患者,通过CT诊断为绞窄性肠梗阻,随后立即进行了手术干预。病例3是一名92岁有多种问题的女性患者,影像学检查显示肺栓塞、脑梗死和疑似阑尾癌。急诊医生与放射科医生之间的有效沟通对于实现快速准确的诊断至关重要,最终可改善患者护理。加强这种协作可减轻医护人员的压力,并改善急诊护理,尤其是在资源有限的医院。

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引用本文的文献

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Artificial Intelligence in Emergency Medicine: Viewpoint of Current Applications and Foreseeable Opportunities and Challenges.人工智能在急诊医学中的应用:当前应用及可预见的机遇与挑战观点。
J Med Internet Res. 2023 May 23;25:e40031. doi: 10.2196/40031.
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Reducing risk in the emergency department: a 12-month prospective longitudinal study of radiographer preliminary image evaluations.降低急诊科风险:一项关于放射技师初步影像评估的为期12个月的前瞻性纵向研究。
J Med Radiat Sci. 2019 Sep;66(3):154-162. doi: 10.1002/jmrs.341. Epub 2019 Aug 26.
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Growing Old in the Emergency Department.
Ir Med J. 2017 Aug 12;110(7):621.
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Accuracy of chest radiograph interpretation by emergency physicians.急诊医生解读胸部X光片的准确性。
Emerg Radiol. 2009 Mar;16(2):111-4. doi: 10.1007/s10140-008-0763-9. Epub 2008 Sep 9.
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Emergency Department overcrowding and ambulance diversion: the impact and potential solutions of extended boarding of admitted patients in the Emergency Department.急诊科拥挤与救护车分流:急诊科收治患者长时间滞留的影响及潜在解决方案
J Emerg Med. 2006 Apr;30(3):351-6. doi: 10.1016/j.jemermed.2005.05.023.