床旁超声对气胸的诊断价值.pdf

临床工程 CLINICAL ENGINEERING 床旁超声 对气胸的诊断价值 Diagnostic Value of Bedside Ultrasound to Aeropleura 李晓君 [摘 要] 目的 探讨床旁超声对气胸的诊断价 Abstract: Objective To explore the diagnostic value of (聊城市人民医院 超声科, 山东 值。方法 98例临床疑诊气胸患者均作了床 bedside ultrasound on aeropleura. Methods Thoracic 聊城 252000) 旁超声、仰卧位X线胸片及CT检查，并对结 ultrasonic visualization,X ray and CT were performed to 果进行比较。结果 CT确诊气胸21例(24侧)， detect aeropleura in 98 patients who were suspected to be 超声诊断气胸20例（23侧），超声诊断气胸 suffering aeropleura and all the findings were compared. 的敏感性、特异性、阳性预测值、阴性预测 Results 21 patients who had aeropleura were detected by 值、准确性分别为85.7%、98.7%、94.7%、 CT, 20 patients were detected by ultrasound. The sensitivity 96.2%、95.9%，优于X线胸片。结论 床旁 of ultrasound was 85.7%,the specificity was 98.7%,the 超声检查诊断气胸具有较高的敏感性和准确 positive predictive value was 94.7%,the negative predictive 性，为危重病人气胸的诊断提供了简单、快 value was 96.2%,the accuracy was 95.9%. The sensitivity 速而安全有效的手段。 and accuracy of ultrasound were superior than X ray. LI Xiao-jun [关键词] 气胸；床旁超声；仰卧位胸片 Conclusion The examination of bedside ultrasound is a (Ultrasound Department, Liaocheng Municipal Peoples [中图分类号] R312；R561.4　 simple and effective means in the detection of aeropleura. Hospital, Liaocheng Shandong [文献标志码]B Key words: aeropleura;bedside ult