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Journal of The Korean Society of Emergency Medicine 1996;7(3): 374-383. |
| THE EFFICIENCY OF EMERGENCY ABDOMINAL ULTRASONOGRAPHY IN BLUNT ABDOMINAL TRAUMA |
| In Cheol Park1, Han Shick Lee1, Cheong Soo Park2, Hyung Sik Yoo3 |
1Department of Emergency Medicine, Yonsei University Medical College
2Department of General Surgery, Yonsei University Medical College
3Department of Diagnostic Radiology, Yonsei University Medical College |
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Published online: September 30, 1996. |
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| ABSTRACT |
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There are several rnethods to detect and evaluate the intraperitoneal organ injury such as physical examination, diagnostic peritoneal lavage(DPL), computed tomography(CT), and abdominal ultra sonography in patient with blunt abdominal trauma DPL is an invasive procedure and may be overly sensitivity. CT scanning shows a high sensitivity, but it is time consuming and may endanger the patient by requiring moving the patient from trauma unit to CT scanning room. Emergency abdominal ultrasonography(US) have several advantages over DPL and abdominal CT by having non-invasiveness, rapidity, repeatability and portability.
The purpose of this study is to detect and evaluate the intraperitoneal organ injury and efficiency of emergency US as primary screening diagnostic tool by comparing the US result with other diagnostic methods and report of emergency celiotomy.
The sensitivity, specificity and accuracy of emergency abdominal US in detecting abdominal lesions and free fluid collections in patients with blunt abdominal trauma were evaluated in this study. A prospective study was carried out on 71 patients with blunt abdominal trauma from September, 1995 to
February, 1996. All patients underwent real-time US examination of the abdomen. US showed a
sensitivity of 95.7%, specificity 97.9%, accuracy 97.2% for detection of free fluid in abdomen.
In this study, emergency abdominal US showed high sensitivity, specificity and accuracy in the evaluation of blunt abdominal trauma patients. We conclude that emergency abdominal US is the method of first choice in the evaluation of blunt abdominal trauma.
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| Key words:
Emergency abdominal ultrasonograhy, Blunt abdominal trauma |
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