The application prospect of microultrasound in the treatment of“golden 1 hour”for thoracic and abdominal trauma
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Abstract: Thoracic and abdominal trauma are common with severe complications and high mortality.Rapid diagnosis and treatment is the key to improve survival rate.Mircroultrasound can be used to quickly assess the site and severity of traumatic organs, and help treatment within 1 hour.The ultrasound guided pericardial/pleural effusion to puncture drainage and catheter drainage can quickly alleviate the emergency.Ultrasound can be used to diagnose tension pneumothorax and rib facture.In the cases of abdominal parenchyma trauma, microultrasound combined with contrast enhanced ultrasound can be used to diagnose, evaluate and invervene to stop the bleeding.Microultrasound, with the characters of miniaturizetion, easy operation and timliness, will be a powerful tool for the treament of“golden 1 hour”of thoracic and abdominal trauma in the battlefield.
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Key words:
- microultrasound /
- thoracic trauma /
- abdominal trauma /
- treatment
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[1] 李丽娟,刁天喜.外军卫勤研究系列讲座(63)--美军战术战伤救治理念的发展与启示[J].人民军医,2013,56(3):280-282.
[2] Frederiksen C A,JuhlOlsen P,Sloth E.Advances in imaging:ultrasound in every physician's pocket[J].Expert Opin Med Diagn,2012,6:167-170.
[3] Lv F,Tang J,Luo Y,et al.Emergency contrast-enhanced ultrasonography for pancreatic injuries in blunt[J].Radiol Med,2014,119:920-927.
[4] Lv F,Ning Y,Zhou X,et al.Effectiveness of contrast enhanced ultrasound in classification emergency treatment of abdominal parenchymal organ trauma[J].Eur Radiol,2014,24:2640-2648.
[5] Tsang T S,Enriquez-Sarano M,Freeman W K,et al.Consecutive 1 127 therapeutic echocardiographically guided pericardiocenteses:clinical profile,practice patterns,and outcomes spanning 21 years[J].Mayo Clin Proc,2002,77:429-436.
[6] Cornily J C,Pennec P Y,Castellant P,et al.Cardiac tamponade in medical patients:a 10-year follow-up survey[J].Cardiology,2008,111:197-120.
[7] Kristensen M S,Teoh W H,Graumann O,et al.Ultrasonography for clinical decision-making and intervention in airway management:from the mouth to the lungs and pleurae[J].Insights Imaging,2014,5:253-279.
[8] Tang H,Pan T,Qin X,et al.A portable thoracic closed drainage instrument for hemopneumothorax[J].J Trauma Acute Care Surg,2012,72:671-675.
[9] Vegas A,Denault A,Royse C.A bedside clinical and ultrasound-based approach to hemodynamic instability-Part II:bedside ultrasound in hemodynamic shock:continuing professional development[J].Can J Anaesth,2014,61:1008-1027.
[10] Islam N B,Levy P D.Emergency bedside ultrasound to detect pneumothorax[J].Acad Emerg Med,2003,10:819-820.
[11] Kirkpatrick A W,Ng A K,Dulchavsky S A,et al.Sonographic diagnosis of a pneumothorax inapparent on plain radiography:confirmation by computed tomography[J].J Trauma,2001,50:750-752.
[12] McBeth P B,Crawford I,Blaivas M,et al.Simple,almost anywhere,with almost anyone:remote low-cost telementored resuscitative lung ultrasound[J].J Trauma,2011,71:1528-1535.
[13] 李传红.高频超声诊断肋骨骨折的价值[J].中国医学影像学杂志,2007,15(4):301-302.
[14] 黄志凌,毛李华,李春苑,等.高频超声与X线在肋骨骨折诊断中的对比分析[J].中国医药指南,2011,9(18):26-27.
[15] 白文庆,胡杰.超声辅助肋间神经阻滞在胸科手术中的应用[J].中国微创外科杂志,2015,15(9):812-814.
[16] Stengel D,Rademacher G,Ekkernkamp A,et al.Emergency ultrasound-based algorithms for diagnosing blunt abdominal trauma[J].Cochrane Database Syst Rev,2015,14:CD004446-CD004446.
[17] Catalano O,Lobianco R,Raso M M,et al.Blunt hepatic trauma:evaluation with contrast-enhanced sonography:sonographic findings and clinical application[J].J Ultrasound Med,2005,24:299-310.
[18] Tang J,Li W,Lv F,et al.Comparison of gray scale contrast-enhanced ultrasonography with contrast-enhanced CT in different grading blunt hepatic and splenic trauma:an animal experiment[J].Ultrasound Med Biol,2009,35:566-575.
[19] 张惠琴,梁峭嵘,唐杰,等.肝外伤超声分级与CT、手术结果对照的初步研究[J].中华超声影像学杂志,2007,16(10):875-877.
[20] Lv F,Tang J,Li W,et al.Hemostatic agents injected directly into hepatic injury sites for liver trauma hemorrhage by the guidance of contrast-enhanced ultrasound:an animal experiment[J].Ultrasound Med Biol,2008,34:1604-1609.
[21] Tang J,Lv F,Li W,et al.Contrast-enhanced sonographic guidance for local injection of a hemostatic agent for management of blunt hepatic hemorrhage:a canine study[J].Am J Roentgenol,2008,191:107-111.
[22] Tang J,Lv F,Li W,et al.Percutaneous injection of hemostatic agents for severe blunt hepatic trauma:an experimental study[J].Eur Radiol,2008,18:2848-2853.
[23] Tang J,Zhang H,Lv F,et al.Percutaneous injection treatment for blunt splenic trauma guided by contrast-enhanced ultrasound[J].J Ultras Med,2008,27:925-933.
[24] Lv F Q,Tang J,Luo Y K,et al.Percutaneous treatment of blunt hepatic and splenic trauma under contrast-enhanced ultrasound guidance[J].Clin Imaging,2012,36:191-198.
[25] Lichtenstein D,van Hooland S,Elbers P,et al.Ten good reasons to practice ultrasound in critical care[J].Anaesthesiol Intensive Ther,2014,46:323-335.
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