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| Clinical Diagnostic Value of Focussed Assessment Sonograph in Emergency Abdominal Closed Trauma |
| HOU Ren-fang, LI He-li, HUANG Li |
| Second People ‘s Hospital of Chengdu,Sichuan 610017 |
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Abstract Objective To investigate the clinical diagnosis of emergency abdominal closed trauma measured by focussed assessment sonograph trauma (FAST). Methods The clinical data of 200 patients with abdominal closed trauma were selected from June 2015 to August 2016. All patients had FAST first, then went to the CT room for abdominal CT examination after vital signs were stable. The diagnostic results and the detection rate of the two methods (FAST and CT) were compared. Results The detection rate of FAST test for liver rupture, renal injury,s plenic rupture, peritoneal, and hemorrhage was 86.49%, 88.24%, 85.92% and 73.91%, respectively.the detection rate of FAST + CT was 97.30%, 97.10% and 97.10%, and 95.65%, respectively. Renal injury and peritoneal hemorrhage diagnostic rates between FAST and FAST+CT were statistically significant (P<0.05). FAST exam time period (4.12±0.85)min was significantly shorter than that of CT (26.13 ± 1.27) min; the difference was statistically significant (P<0.05). The positive detection rate of FAST examination for abdominal injury was 85.00% (170 /200,P<0.05) and the missed rate was 0%. The positive detection rate of FAST+CT was 96.00% (192/200) and the rate of missed diagnosis was 0%. The difference between the two methods was statistically significant(χ2=14.0739,P=0.0002＜0.05). Conclusion FAST ultrasound examination as a common inspection equipment has advantage of having a simple procedure, being easy to use, and able to complete the diagnosis in a shorter time with a high detection rate for emergency abdominal closed trauma. In combination with CT examination, it can further improve the diagnosis with higher clinical application value.
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2017, Vol. 34 
