Sonography in emergency diagnosis of the abdomen
Eckel, H.
Rontgen-Blatter; Zeitschrift für Rontgen-Technik und Medizinisch-Wissenschaftliche Photographie 33(5): 244-248
1980
ISSN/ISBN: 0300-8592 PMID: 7375770 Document Number: 536
The article reports on 150 patients, 86 men and 64 women, aged between 16-90 yr, who were subjected to sonographic examination directly after they had been admitted as emergency cases. In the group of patients under examination directly after they had been admitted as emergency cases. In the group of patients under examination, the clinical disease pattern of acute upper abdominal complaints ranked 1st, followed (in the rate of incidence) by abdominal trauma and acute metabolic disease. In more than 25% of the cases the decisive diagnosis was made on the basis of sonography only, so that there was no delay in deciding whether treatment should be initiated or whether the diagnosis required further differentiation. In another over 20% of the cases ultrasound diagnosis contributed quite substantially towards arriving at the final diagnosis. The number of failures or unsuccessful examinations was about 2% in each group. The rapid, mobile and risk-free use of sonography is emphasized. The share of ultrasound in the diagnosis of acutely and severely diseased patients should be increased and sonography should be placed first and foremost, as far as possible.
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