北京生物醫(yī)學(xué)工程

便攜式超聲心動圖儀在急診中的臨床應(yīng)用價值

Clinical value of portable echocardiography in emergency room

作者：張麗華王巖劉愛琴封淑文杜巧黃建新

單位：           武警北京市總隊第二醫(yī)院(北京100037)    

關(guān)鍵詞：急診；床旁超聲心動圖

分類號：

出版年·卷·期（頁碼）：2013·32·4（412-414）

摘要：

目的探討便攜式超聲心動圖儀在急診中對協(xié)助急危重癥的診斷、鑒別診斷及監(jiān)測治療相關(guān)急癥診療中的應(yīng)用價值。方法回顧性分析武警北京市總隊第二醫(yī)院2011年12月至2012年10月行急診床旁超聲心動圖檢查的120例病例。結(jié)果 120例患者通過便攜式超聲心動圖儀檢出95例異常超聲心動圖改變，診斷陽性率為79.1%。95例病例中有45例冠心病，床旁超聲檢出32例，超聲檢測的準(zhǔn)確率為71%，10例心臟瓣膜病，床旁超聲檢出9例，準(zhǔn)確率為90%，12例高血壓性心臟、6例各種原因引起的心功能不全、4例心肌病、4例心包積液，急診床旁超聲檢出準(zhǔn)確率為100%，5例主動脈夾層準(zhǔn)確率為80%，6例先天性心臟病準(zhǔn)確率為83.3%，3例肺栓塞通過急診床旁超聲均未檢出。結(jié)論便攜式超聲心動圖儀檢查方便、較為準(zhǔn)確，對心臟相關(guān)急癥的診治具有重要的臨床應(yīng)用價值。

Objective To explore the clinical value of portable echocardiography in the diagnosis and treatment of critical heart diseases. Methods One hundred and twenty patients who received emergency bedside echocardiography examination in Beijing Corps Second Hospital of Chinese People Armed Police Forces from Dec 2011 to Oct 2012 were retrospectively analyzed. Results Ninety-five patients were diagnosed abnormal echocardiogram by bedside echocardiography in the 120 patients (positive rate for diagnosis，79.1%). Among the 95 cases，32 of 45 coronary heart disease cases were diagnosed by bedside echocardiography. The accuracy rate of bedside echocardiography in coronary heart disease was 71%. The accuracy rates of bedside echocardiography in hypertensive heart disease (12 cases)，heart failure (6 cases)，cardiomyopathy (4 cases) and pericardial effusion (4 cases) were 100%. The accuracy rates of bedside echocardiography in valva heart disease (10 cases)，aortic dissection (5 cases) and congenital heart disease (6 cases) were 90%，80% and 83.3%，respectively. None of the three pulmonary embolism cases was diagnosed by bedside echocardiography. Conclusions There is certain clinical value in portable echocardiography for the diagnosis and treatment in critical heart diseases.

參考文獻(xiàn)：

［1］Labovitz AJ，Noble VE，Bierig M，et al. Focused cardiac ultra-sound in the emergent setting:a consensus statement of the American Society of Echocardiogrphy and Amercian College of Emergency Physicians. J Am Soc Echocardiogr,2010,23:1225-1230.

［2］Von Kodolitsch Y，Aydin MA，Koschyk DH，et al. Predictors of aneurysm formation afrer sugery of aortic coarctation［J］. J Am Coll Cardiol,2002,39(3)：617.

［3］吳雅峰. 肺血栓栓塞癥的超聲心動圖診斷［J］.中華醫(yī)學(xué)雜志,2003,83（5）：439-440.

Wu Yafeng. The diagnosis of pulmonary embolism by echocardiography. National Medical Journal of China. 2003,83(5):439-440.

［4］張美萍，李國洪. 心電圖與超聲心動圖在原發(fā)性高血壓左心室肥厚診斷中的應(yīng)用價值對比［J］.中國現(xiàn)代醫(yī)生，2013,51（10）：129-130,132.

［5］Otero R，Oribe M Ballaz A，et al. Echocardiographic assessment of pulmonary arterial pressure in the follow-up of patients with pulmonary embolism. Thromb Res，2011，127:303-308.

［6］Levitt MA，Jan. The effect of real time 2-dechocardiography on medical decision making in the emergency department. J E-merg Med,2002,22:1229-1233.

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