Shea D J, Aghababian R V
Ann Emerg Med. 1984 May;13(5):311-6. doi: 10.1016/s0196-0644(84)80112-2.
To assess the diagnostic value of abdominal and pelvic ultrasound to the emergency physician, we followed 43 patients who required ultrasound out of 1,010 patients who presented to the emergency department with abdominal pain and/or vaginal bleeding during the 33-week study period. Ultrasound confirmed the preliminary diagnosis in 12 patients, was supportive in eight patients, and ruled out the preliminary diagnosis in 23 patients. Ultrasound often shortened the evaluation process by narrowing the differential diagnosis or by excluding potentially serious conditions, thus eliminating the need for additional testing and frequently allowing for safe discharge of the patient. We found ultrasound to be helpful, as well as cost-effective, in certain patients with abdominal pain and/or vaginal bleeding in whom an emergency department evaluation without ultrasound could not exclude a condition necessitating admission or urgent surgery.
为评估腹部和盆腔超声对急诊医生的诊断价值，我们在为期33周的研究期间，对1010例因腹痛和/或阴道出血到急诊科就诊的患者中43例需要超声检查的患者进行了随访。超声检查在12例患者中证实了初步诊断，在8例患者中提供了支持，在23例患者中排除了初步诊断。超声检查常常通过缩小鉴别诊断范围或排除潜在的严重疾病来缩短评估过程，从而无需进行额外检查，并常常使患者能够安全出院。我们发现，对于某些腹痛和/或阴道出血的患者，如果在没有超声检查的情况下进行急诊科评估无法排除需要住院或紧急手术的疾病，超声检查是有帮助的，而且具有成本效益。
