急診床旁超聲在協診主動脈夾層的臨床價值

The clinical value of emergency bedside echocardiography for diagnosis of aortic dissection

石漢輝(SEAK Hon Fai) ； 何澄幫(HE Cheng Bang) ； 陳劍龍(CHAN Kim Long)

《鏡湖醫學》 22卷2期 (2022/12) Pp. 39-40+77

摘要

目的：探討急診床旁經胸心臟超聲在縮短確診主動脈夾層的時間的臨床應用價值。方法：回顧自2017年1月～2020年10月在本院急診通過CTA確診的主動脈夾層患者，把其分為先行床旁經胸心臟超聲（TTE）獲得擬診再行CTA確診、祗行CTA獲得確診等兩種情況，所需時間作比較。結果：總共24例患者在本院急症室診斷主動脈夾層。其中先經超聲擬診，後再通過CTA確診的有11例，確診平均時間61±28分鐘；其餘13例無做超聲祇通過CTA獲得確診，確診平均時間123±93分鐘。兩種檢查方法獲診斷的時間差異，有統計學意義（P<0.05）。結論：急診床旁TTE快速擬診主動脈夾層能縮短確診流程的時間。

關鍵字

超聲診斷 ； 經胸心臟超聲 ； 主動脈夾層

並列摘要

Objective: To explore the clinical value of emergency bedside transthoracic echocardiography (TTE) for diagnosing aortic dissection (AD). Methods: A retrospective analysis of 24 AD patients diagnosed with CTA was performed in the emergency department of our hospital. Divided into two groups to compare the time to obtain the diagnosis: group a, bedside transthoracic echocardiography (TTE) to obtain the suspicious diagnosis and then to be diagnosed by CTA; group b, only diagnosed by CTA. Results: A total of 24 patients were diagnosed with AD in the AED of our hospital. Among them, 11 cases performed TTE first and then diagnosed by CTA; the average time to diagnosis was 61±28 minutes; The only diagnosis with CTA average diagnosis time was 123±93 minutes. There was a statistically significant difference (P<0.05) between obtaining a diagnosis with TTE and CTA and those who only did the CTA. Conclusion: Rapid diagnosis of aortic dissection by emergency bedside TTE can shorten the diagnosis process.

並列關鍵字

Ultrasound diagnosis ； Transthoracic echocardiography ； Aortic dissection