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J Korean Soc Emerg Med > Volume 7(2); 1996 > Article
Journal of The Korean Society of Emergency Medicine 1996;7(2): 259-267.
Kang Hyun Lee, Kyoung Soo Lim, Sung Oh Hwang, Jin Woong Lee
Department of Emergency Medicine, Wonju College of Medicine, Yonsei University
  Published online: June 30, 1996.
The Ultrasonography is rapid, mobile, and noninvasive diagnostic tool in emergency center. As a result, we estimate it' s value as an advocated primary diagnostic modality in the immediate evaluation of patients with multiple trauma We investigated 60 patients with traumatic hematuria(microscopic hematuria or gross hematuria) who visited our emergency department from 1995, July to 1996, March. To evaluate the injury of urinary systems, emergency physician examined patients with hematuria by ultrasonography, and compared the results with those of excretory urography and computed tomography. We demonstrated 21 positive findings for abnormal fluid collection and renal parenchymal injury and bladder rupture on ultrasonography. All bladder injuries were diagnosised by ultrasonography, and all major renal injury(grade III, Ⅳ, V) were also diagnosised by that. The accuracy of emergency ultrasound examination in traumatic hematuria was 97.0%, and sensitivity was 95.0% with specificity of 97.4%. The ultrasonography was an accurate diagnostic adjunct in detecting renal injury and bladder injury in traumatic hematuria patients. Ultrasonography provides an excellent noninvasive diagnostic tool for the initial screening study of patients with traumatic hematuria.
Key words: Hematuria, emergency Ultrasonography
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