目的 比较重症监护病房(ICU)床边B超与胸部X线片检查对创伤性气胸的诊断价值.方法 选取我院ICU收治的84例钝性胸部创伤患者,均行CT检查,随机分为 B超组和X线组,各42例.B超组行床边B超检查,X线组行床边胸部X线片检查,将两组检查结果与CT结果对比.结果 B超组CT检查结果示气胸34例37侧,其中3例为双侧气胸,B超检查结果示气胸26例28侧,其中2例为双侧气胸;X线组CT检查结果示气胸33例35侧,其中2例为双侧气胸,胸部X线片检查结果示气胸25例26侧,其中1例为双侧气胸.B超组和X线组敏感度、特异度、阳性预测值、阴性预测值、准确度比较,差异均无统计学意义(P＞0.05).结论 ICU床边B超与胸部X线片诊断气胸敏感性、特异性无显著差异,B超检查方便、无创、可动态观察,方便实用.%Objective To investigate the value of bedside ultrasonography and chest X - ray in the diagnosis of pneumothorax. Methods 84 patients with blunt chest trauma admitted to the ICU of our hospital were given CT examination and were randomly divided into B - ultrasonography group and X - ray group with each group 42 cases. B - ultrasonography group was given bedside B - ultrasonography examination while X - ray group was given bedside chest X - ray examination. The results of the two groups were compared with the CT results. Results In B - ultrasonography group, CT examination results showed 37 sides of pneumothorax in 34 cases and 3 cases were bilateral pneumothorax. While B - ultrasonography examination results showed 28 sides of pneumothorax in 26 cases and 2 cases were bilateral pneumothorax. In X - ray group, CT examination results showed 35 sides of pneumothorax in 33 cases and 2 cases were bilateral pneumothorax. While X - ray examination results showed 26 sides of pneumothorax in 25 cases and one case were bilateral pneumothorax. The sensitivity, specificity, positive predictive value, negative predictive value and accuracy between B - ultrasonography group and X - ray group showed no statistically significant difference ( P > 0. 05 ) . Conclusion B - ultrasonography and X - ray showed no statistically significant difference in sensitivity and specificity in the diagnosis of pneumothorax. B - ultrasound is convenient, noninvasive and can be dynamically observed as a convenient and practical method.
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