Application of portable ultrasound in pre-hospital trauma emergency care

LIANG Chao-rong; PANG Qiang; YANG Wei; ZHAN Pei; LI Jin-peng; TIAN Zhi-qiang

doi:10.11659/jjssx.08E025021

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Application of portable ultrasound in pre-hospital trauma emergency care

Image\-Guided Diagnosis and Surgery | 更新时间：2026-05-25

- Application of portable ultrasound in pre-hospital trauma emergency care
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 35, Issue 5, Pages: 375-379(2026)
- 作者机构：
  
  联勤保障部队第923医院急诊科，广西南宁 530021
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.08E025021
  CLC： R445.1;R641
- Received：05 August 2025，
  
  Published：25 May 2026
- 稿件说明：
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梁朝荣,庞强,杨巍等.便携式超声在院前创伤急救中的应用研究[J].局解手术学杂志,2026,35(05):375-379.

LIANG Chao-rong,PANG Qiang,YANG Wei,et al.Application of portable ultrasound in pre-hospital trauma emergency care[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2026,35(05):375-379.
梁朝荣,庞强,杨巍等.便携式超声在院前创伤急救中的应用研究[J].局解手术学杂志,2026,35(05):375-379. DOI： 10.11659/jjssx.08E025021.

LIANG Chao-rong,PANG Qiang,YANG Wei,et al.Application of portable ultrasound in pre-hospital trauma emergency care[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2026,35(05):375-379. DOI： 10.11659/jjssx.08E025021.

摘要

目的

探讨便携式超声在院前创伤急救中的应用价值。

方法

选取2024年6月至2025年6月联勤保障部队第923医院院前创伤指数（TI）≤16分的79例创伤患者作为研究对象。所有患者分别采用单纯TI及加用院前超声进行伤情评估，以院内最终诊断结果为伤情判断金标准。比较2种评估方法在79例患者整体中的核心指标，包括伤情评估准确率、近程分流转运率、远程分流转运率及分流转运合理率；随后按TI评分将患者分为TI10分组（46例）和TI≥10分组（33例），进一步分层比较单纯TI和加用院前超声在院前创伤中的评估效能。

结果

与单纯TI比较，加用院前超声的伤情评估准确率、分流转运合理率、远程分流转运率均升高，而近程分流转运率降低，差异有统计学意义（

0.05）。分层分析显示，TI10分组中单纯TI和加用院前超声的伤情评估准确率、分流转运合理率、远程分流转运率、近程分流转运率比较，差异均无统计学意义（

0.05）；而TI≥10分组中加用院前超声评估上述指标均优于单纯TI评估，差异有统计学意义（

0.05）。TI评估的主要影响因素为胸腹部外伤，其他影响因素依次为意识不清及主诉不全、受伤机制不详、股骨骨折伴肿胀明显、心率加快。

结论

加用院前超声用于TI≤16分院前创伤患者的伤情评估及分流转运指导，整体效能显著优于单纯TI；尤其在TI≥10分的中重度创伤患者中，院前超声的评估优势更突出，可有效提升分流准确率与合理率，对优化院前创伤救治流程具有重要临床价值。

Abstract

Objective

To investigate the application value of portable ultrasound in pre-hospital trauma emergency care.

Methods

A total of 79 trauma patients with pre-

hospital trauma index （TI） ≤16 scores admitted to the 923rd Hospital of the Joint Logistics Support Force from June 2024 to June 2025 were enrolled as the research subjects. All patients underwent trauma assessment using TI alone and combined with pre‑hospital ultrasound， with the final in‑hospital diagnosis serving as the gold standard for trauma evaluation. The core indicators of the two assessment methods were compared in the overall cohort of 79 patients， including the accuracy of trauma assessment， near referral rate， distant referral rate， and appropriate triage and transport rate. Patients were then stratified by TI score into the TI10-score group （

=46） and the TI≥10-score group （

=33） for further comparison of the evaluation efficacy of TI alone versus combined with pre‑hospital ultrasound in pre‑hospital trauma.

Results

Compared with TI alone， the addition of pre‑hospital ultrasound showed significantly higher accuracy of trauma assessment， appropriate triage and transport rate， and distant referral rate， but a lower near referral rate， with statistically significant differences （

0.05）. Stratified analysis revealed that no statistically significant differences were found between TI alone and the addition of pre‑hospital ultrasound in terms of accuracy of trauma assessment， appropriate triage and transport rate， distant referral rate， or near referral rate in the TI10-score group （

0.05）. In contrast， in the TI≥10-score group， all the above indicators assessed by the addition of pre‑hospital ultrasound were superior to those assessed by TI alone， with statistically significant differences （

0.05）. The main influencing factor for TI assessment was thoracic and abdominal trauma， followed by unconsciousness and incomplete chief complaint， unknown mechanism of trauma， femoral fracture with pronounced swelling， and tachycardia.

Conclusion

The addition of pre‑hospital ultrasound shows significantly better overall performance in trauma assessment and triage and transport guidance than TI alone for pre‑hospital trauma patients with a TI≤16 scores. It has particularly prominent advantages in improving the accuracy and appropriateness of triage for patients with moderate to severe trauma （TI≥10 scores）， and also has important clinical value for optimizing pre‑hospital trauma care.

关键词

Keywords

references

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