Ecografía realizada por cirujanos en el manejo de pacientes con trauma / Echography performed by surgeons in the management of patients with trauma
Rev. méd. Chile
;
130(8): 892-896, ago. 2002.
Article
Dans Espagnol
| LILACS
| ID: lil-356152
ABSTRACT
BACKGROUND:
Ultrasonography is useful in trauma patients to detect pleural effusions or peritoneal fluid.AIM:
To assess the value of ultrasonography performed by surgeons in the assessment of trauma patients. MATERIAL ANDMETHODS:
A retrospective review of ultrasonography reports and clinical history of 284 trauma patients.RESULTS:
One hundred fifty six patients had blunt trauma and 128 had penetrating trauma. Ultrasonography detected peritoneal fluid in 20 per cent, pericardial effusion in 1 per cent and pleural effusion in 1 per cent. Eight percent had visceral damage or hematomas, without peritoneal fluid. None of the patients with a normal ultrasonography required surgery for hemoperitoneum; however, four patients had intestinal perforations and required surgery.CONCLUSIONS:
Ultrasonography had a 100 per cent sensitivity and specificity for the detection of clinically significant hemoperitoneum. Emergency ultrasonography performed by surgeons is useful and accurate.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Plaies et blessures
/
Traitement d'urgence
Type d'étude:
Etude diagnostique
/
Étude observationnelle
Limites du sujet:
Adulte
/
Femelle
/
Humains
/
Mâle
langue:
Espagnol
Texte intégral:
Rev. méd. Chile
Thème du journal:
Médicament
Année:
2002
Type:
Article
Pays d'affiliation:
Chili
Institution/Pays d'affiliation:
Universidad de Chile/CL
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