[Ultrasonics and lavage in polytraumatized patients with blunt abdominal trauma].
The reliability of sonography and peritoneal lavage in assessing the need for immediate surgical intervention in blunt abdominal trauma was examined in a controlled prospective and retrospective study. Whereas no false results occurred using peritoneal lavage, false negative findings in sonography were 9.8% and false positive findings 3.9%. A significant difference was also found on retrospective evaluation of all cases with diagnostic peritoneal lavage (2.2% false results) and ultrasound investigations (14.9% false results). This demonstrates that sonography cannot fully replace peritoneal lavage as a diagnostic method in blunt abdominal trauma.
D000007:Abdominal Injuries / Q000175:diagnosis*; D003951:Diagnostic Errors; D005188:False Negative Reactions; D005189:False Positive Reactions; D006801:Humans; D007813:Laparotomy; D010529:Peritoneal Cavity; D011446:Prospective Studies; D012189:Retrospective Studies; D007507:Therapeutic Irrigation; D014463:Ultrasonography; D014949:Wounds, Nonpenetrating
Ultraschall und Lavage beim stumpfen Bauchtrauma polytraumatisierter Patienten.