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目的:探讨急诊医生运用床边FAST B超检查在急诊危重病中的诊治优势。方法:将我科2010年1月-2014年12月诊治的急危重病患者80例分为研究组(n=42)和对照组(n=38),研究组由急诊医生运用床边FAST B超检查,对照组由超声医生按床边传统B超法检查,比较两组检查方法的正确率和患者来院到B超检查完成的时间。结果:与对照组相比,研究组可明显缩短来院到B超检查完成的时间(P<0.01),两组B超检查的正确率无明显差异,均为100%。结论:急诊医生运用床旁FAST B超法检查,能在急诊危重病的诊治中缩短来院到B超检查完成的时间,为急诊危重病者赢取宝贵的抢救时间。
OBJECTIVE: To investigate the diagnosis and treatment advantages of emergency physicians using FAST B-bedside in emergency critical care. Methods: 80 cases of acute critically ill patients diagnosed and treated in our department from January 2010 to December 2014 were divided into study group (n = 42) and control group (n = 38). The study group consisted of emergency physicians using bedside FAST B In the ultrasonography, the control group was examined by the ultrasound B-bed method by the ultrasound doctor. The correct rate of the two methods and the time from the arrival of the patient to the B-mode ultrasound examination were compared. Results: Compared with the control group, the study group could significantly shorten the time from hospital to B-ultrasound examination (P <0.01). There was no significant difference between the two groups in the accuracy of B-ultrasound examination, both of which were 100%. Conclusion: Emergency physicians using bedside FAST B-ultrasonography can shorten the time between arrival and B-ultrasound examination in the diagnosis and treatment of emergency critical illness and win valuable rescue time for emergency critical patients.