[超声检查在重症监护病房诊断膈肌麻痹中的价值]
[The value of sonography in the intensive care unit for the diagnosis of diaphragmatic paralysis].
作者信息
Dorffner R, Eibenberger K, Youssefzadeh S, Puig S, Liskutin J, Papousek A, Grabenwöger F
机构信息
Abteilung für chirurgische Fächer, Universitätsklinik für Radiodiagnostik, Universität Wien.
出版信息
Rofo. 1998 Sep;169(3):274-7. doi: 10.1055/s-2007-1015089.
PURPOSE
To assess the value of bedside sonography in the detection of diaphragmatic paralysis in patients in the intensive care unit.
METHODS
In this study, 100 patients who were admitted to the intensive care unit after thoracic operations were evaluated. Sonography of each hemidiaphragm was performed with coronal scans at the mid-axillary line on both sides with the patient supine. Absent and paradoxical diaphragmatic movement was considered to be indicative of diaphragmatic paralysis. All patients underwent additional fluoroscopy within 5 days.
RESULTS
In 13 patients (13%) sonography revealed diaphragmatic paralysis. All these results were confirmed with fluoroscopy resulting in a sensitivity and specificity for sonography of 100%.
CONCLUSION
Bedside sonography of the diaphragm at the intensive care unit is a reliable tool for diagnosing diaphragmatic paralysis.
目的
评估床旁超声检查在重症监护病房患者膈肌麻痹检测中的价值。
方法
本研究对100例胸科手术后入住重症监护病房的患者进行了评估。患者仰卧位时，在双侧腋中线进行冠状面扫描，对每个半侧膈肌进行超声检查。膈肌运动消失和矛盾运动被认为提示膈肌麻痹。所有患者在5天内均接受了额外的荧光透视检查。
结果
13例患者（13%）超声检查显示膈肌麻痹。所有这些结果均经荧光透视检查证实，超声检查的敏感性和特异性均为100%。
结论
重症监护病房床旁膈肌超声检查是诊断膈肌麻痹的可靠工具。
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