Ultrasonography in the evaluation of hemoperitoneum in hepatic and spleanic trauma
- Author:
Thong Minh Pham
- Publication Type:Journal Article
- Keywords:
Ultrasonography
- MeSH:
ultrasonography;
Hemoperitoneum;
Wounds and Injuries
- From:Journal of Practical Medicine
2002;435(11):17-19
- CountryViet Nam
- Language:Vietnamese
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Abstract:
Diagnostic peritoneal lavage (DPL) has been widely used for the evaluation of blunt abdominal trauma since its first description by Root et al in 1965. Recently, with the improvement of electronic technology, Ultrasonography (US) has been routinely used in emergency. The reliability of ultrasonographic detection (US) of hemoperitoneum in hepatic and splenic trauma was evaluated in a retrospective and prospective study of 142 patients. The sensitivity, specificity and accuracy were, respectively, 93.9%, 84.1%, and 90.8%. Laparotomy was indicated in 98 patients (69%) of US hemoperitoneum-positive cases. There were 6 false negatives and 17 false positives in this study. We believe screening method in the evaluation of blunt abdominal trauma. US might take over a great part of role of diagnostic peritoneal lavage.
