查詢結果分析
來源資料
相關文獻
- Either Hypotension or Clinical Signs Alone Is a Reliable Indication for Immediate Tube Thoracostomy in Penetrating Chest Injury
- Massive Hemothorax with Hypovolemic Shock Caused by Spontaneous Pneumothorax--A Case Report
- 黑鯛(Acanthopagrus Schlegeli)脾臟細胞株對熱休克的反應
- Shock in the Pediatric Emergency Service: Five Years' Experience
- 敗血性休克的致病機轉和治療之探討:生理、生化、藥物和藥理的角度
- 一位嚴重骨盆骨折合併出血性休克病患於加護病房之護理經驗
- 休克
- 過敏與氣喘
- 以骨盆腔填塞止血法與模擬式防休克褲挽救骨盆腔手術時發生低容性休克的出血:病例報告
- Anaphylactic Shock Following a Fire Ant Sting: A Case Report
頁籤選單縮合
| 題 名 | Either Hypotension or Clinical Signs Alone Is a Reliable Indication for Immediate Tube Thoracostomy in Penetrating Chest Injury=休克或臨床徵象是穿刺性胸部外傷一個立即插胸管的可靠指標 |
|---|---|
| 作 者 | 陳石池; | 書刊名 | 慈濟醫學 |
| 卷 期 | 8:4 1996.12[民85.12] |
| 頁 次 | 頁263-269 |
| 分類號 | 415.43 |
| 關鍵詞 | 休克; 血氣胸; 插胸管; 穿刺性胸部外傷; Hypotension; Hemopneumothorax; Tube thoracostomy; Penetrating chest injury; |
| 語 文 | 英文(English) |
| 中文摘要 | 在261位穿刺性胸部外傷病人中,41位(15.7)發生休克,其中38位(92.7) 有氣胸或血胸。休克的病人發生氣胸或血胸的機會,受傷程度,住院天數和死亡 率都比未休克者高。以聽診來檢查氣胸或血胸的敏感度為62.2,精密度為98.1, 準確度為77.0,正預測值為98.0。我們認為在穿刺性胸部外傷發生休克或聽診發 現肺部呼吸聲減少或消失時,在照胸部X光前可做為插胸管的指標。(慈濟醫學 1996;8:263-269) |
| 英文摘要 | We tried to study the relationship between hypotension, clinical findings and hemopneumothorax inpenetrating chest injury to determine whether hypotension or clinical findings alone inpenetrating chestinjury is a reliable indicator for immediate tube thoracostomy. Allpatients(n=310) -with penetratingchest injury admitted to a level I university affiliated trauma center over a two-year period wereevaluated. Systolic blood pressure, clinical findings on primary survey and chest x-ray for the presence ofhemothorax, pneumothorax or hemopneumothorax were compared. The statistical differenceswere determined by the Student's t-test. Of 310 patients, 49 patients died in the trauma bay without chestx-ray, leaving 261 patients. A total of 155 patients(59.4) had a lesion of hemothorax, pneumothorax,or hemopneumothorax on chest x-ray treated with tube thoracostomy. Hypotension was present in 41patients(15.7) and hemothorax, pneumothorax, and hemopneumothorax was present in 38 of these41(92.7). Hypotension was associated with longer hospital stay, higher mortality and higher InjurySeverity Score. Auscultation to detect hemothorax, pneumothorax or hemopneumothorax had asensitivity of 62.6, a specificity of98.1, an accuracy of 77.0, and a positive predictive value of98.0. Penetrating chest injury with hypotension or decreased breathing sounds alone has a significantincidence ofhemothorax, pneumothorax, or hemopneumothorax on the side of the injured hemothorax.We conclude that immediate tube thoracostomy before chest x-ray is warranted. (Tzu Chi Med J 1996;8:263-269) |
本系統中英文摘要資訊取自各篇刊載內容。