Estorc J, Assaf N, Metge L, Lopez F M, Eledjam J J, D'Athis F
Presse Med. 1984 Dec 1;13(43):2621-3.
The purpose of this study was to evaluate the usefulness of abdominal ultrasonic tomography, among other methods, to detect visceral lesions in multiple traumas of the abdomen. Forty-seven case-records of abdominal traumas observed over an 8-month period were selected. We used a real-time sectorial ultrasound scanner with a 3.5 MHz probe. Positive results were obtained in 11 patients who were operated upon. None of the 33 patients with negative results and only one of the 3 patients with doubtful results underwent surgery. We found that suggestive symptoms were compatible with the absence of any severe visceral lesion and, conversely, that patients with multiple traumas but little suggestive symptoms could present with one or several intra-abdominal lesions. Abdominal ultrasonic tomography can rapidly be performed and its indications are different from, but wider than, those of peritoneal lavage. It is a safe and reliable emergency examination which does not interfere with resuscitation procedures.
本研究的目的是评估腹部超声断层扫描以及其他方法在检测腹部多发伤中内脏损伤方面的实用性。选取了在8个月期间观察到的47例腹部创伤病例记录。我们使用了一台配备3.5MHz探头的实时扇形超声扫描仪。11例接受手术的患者获得了阳性结果。33例结果为阴性的患者中无人接受手术，3例结果可疑的患者中只有1例接受了手术。我们发现，提示性症状与无任何严重内脏损伤的情况相符，相反，多发伤但提示性症状较少的患者可能存在一处或多处腹腔内损伤。腹部超声断层扫描操作迅速，其适应证与腹腔灌洗不同，但范围更广。它是一种安全可靠的急诊检查，不会干扰复苏程序。
