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Revista médica de Chile · Aug 2002
[Echography performed by surgeons in the management of patients with trauma].
- Felipe Catán, Carlos Altamirano, Cristian Salas del, Raúl Novoa, Juan Pablo Castro, Carmen Lagos, and Verónica Larrea.
- Unidad de Emergencia, Hospital del Salvador, Departamento de Cirugía, Facultad de Medicina Oriente, Universidad de Chile.
- Rev Med Chil. 2002 Aug 1;130(8):892-6.
BackgroundUltrasonography is useful in trauma patients to detect pleural effusions or peritoneal fluid.AimTo assess the value of ultrasonography performed by surgeons in the assessment of trauma patients.Material And MethodsA retrospective review of ultrasonography reports and clinical history of 284 trauma patients.ResultsOne hundred fifty six patients had blunt trauma and 128 had penetrating trauma. Ultrasonography detected peritoneal fluid in 20%, pericardial effusion in 1% and pleural effusion in 1%. Eight percent had visceral damage or hematomas, without peritoneal fluid. None of the patients with a normal ultrasonography required surgery for hemoperitoneum; however, four patients had intestinal perforations and required surgery.ConclusionsUltrasonography had a 100% sensitivity and specificity for the detection of clinically significant hemoperitoneum. Emergency ultrasonography performed by surgeons is useful and accurate.
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