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頁籤選單縮合
題 名 | 骨盆骨折病患合併腹部鈍傷之診斷 |
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作 者 | 黃俊男; 方禎鋒; 陳瑞杰; | 書刊名 | 長庚醫學 |
卷 期 | 18:2 1995.06[民84.06] |
頁 次 | 頁154-159 |
分類號 | 416.284 |
關鍵詞 | 骨盆骨折; 腹部鈍傷; 診斷性腹腔灌洗術; 腹部超音波檢查; 電腦斷層檢查; 後腹膜腔血腫; 非治療性剖腹術; Pelvic fracture; Blunt abdominal trauma; Diagnostic peritoneal lavage; Abdominal echogram; Computed tomography; Retroperitoneal hematoma; Nontherapeutic laparotomy; |
語 文 | 中文(Chinese) |
中文摘要 | 對於骨盆骨折合併出血性休克的危急病患,診斷其是否有腹部鈍傷,是急診外科醫師常碰見的難題,骨盆骨折合併的後腹膜血腫就是非治療剖腹術比率過高的原因之一。如何找適合且最迅速的方法,使非治療性剖腹術的比例降到最低是我們努力的目標。長庚紀念醫院林口醫學中心於1989年至1993年四年間,於804位骨盆骨折病患中,發現有60位疑有腹部鈍傷。術前18位接受診斷性腹腔灌洗術檢查,25位接受腹部超音波檢查,47位病患接受剖腹探查,經比較手術前後之發現,其敏感度、特定度、及準確率為診斷性腹需灌洗術100%,40%66%及腹部超音波94.7%,50%,84%顯示腹部超音?有較好的預測效果,又由於超音波的便利性,非侵犯性及其能提供影像的支持,所以我們認為超音波較適合對骨盆骨折合併腹部鈍傷之病患做為第一線的篩檢,但是對於腸道破裂的病例,超音波仍有死角,如有懷疑時,診斷性腹腔灌洗術則可互補地使用;電腦斷層攝影雖亦有極高的預測率,但對於血壓不穩的病患,因所須時間較久,則不適用。 |
英文摘要 | It is difficult to diagnose blunt abdominal trauma in unstable patients with pelvic fractures. In the United States the standard diagnostic procedures for these patients were the physical examinations and diagnostic peritoneal lavages. However, abdominal echograms were prevalent in Europe and Japan. We reviewed 60 patients suspected blunt abdominal trauma in 804 pelvic fractures in the past four years. Eighteen DPLs and twenty-five abdominal echograms were done separately. Sensitivity, specificity, and accuracy were 100%, 40%, 66% for DPL and 94.7%, 50%, 84% for abdominal echograms respectively. Besides the better correlation with the results for echogram, it provides easy availability, noninvasiveness, and imaging function. Thus we recommend that the echogram be the first-line screening test. DPL acts as a complementary test, especially in the cases of bowel perforation. |
本系統中英文摘要資訊取自各篇刊載內容。