Biolife
AN OFFICIAL PUBLICATION OF GLOBAL SCIENCE PUBLISHING GROUP, USA
International Quarterly Journal of Biology & Life Sciences
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Biolife, Volume 3, Issue 3, 2015
DOI: http://dx.doi.org/10.17812/blj.2015.3320

Research Article

Study of the role of ultrasonography in blunt chest trauma

Mona Abd El baset Mahmoud Khattab1*, Khaled Saad Eldin Karara2 , Sherif  Elsayed Hegab3, Ayman Ahmed Nosseir4

1Emergency Department, Faculty of Medicine University of Alexandria, Egypt
2,4 Cardiothoracic Surgery Department, University of Alexandria, Egypt
3Radiology Department, University of Alexandria, Egypt

*E-mail: monmon.khattab@yahoo.com

ABSTRACT

The purpose of this investigation was to evaluate the role of thoracic ultrasound for detection of hemopneumothorax and
pericardial collection and treatment in patients with blunt chest trauma. This study included 50 patients admitted to
Emergency department in alexandria university hospital presented with isolated blunt chest trauma or polytrauma with chest
involvement, their age ranged from 16-80 years, 88% of them were males and 12% were females, males are more than females
because they are more active & physically more mobile.  In our study chest computed tomography was used as a gold standard
for diagnosing hemothorax, pneumothorax, pericardial effusion & lung contusion to assess the diagnostic value of chest
radiography and lung ultrasonography. This study shows Sensitivity, specificity and accuracy of US & x ray in detecting
hemothorax , for US chest Sensitivity was 95.24% , Specificity was 100.0% , PPV was 100.0% , NPV 96.67% & Accuracy was
98.0% compared to chest x -ray Sensitivity was 71.43, Specificity was 100.0% , PPV was 100.0% , NPV 82.86% & Accuracy was
88.0% , For pneumothorax ; US chest Sensitivity was 82.76% , Specificity was 100.0% , PPV was 100.0% , NPV 81.48% &
Accuracy was 90.2% compared to chest x -ray Sensitivity was 71.43, Specificity was 100.0% , PPV was 100.0% , NPV 73.33% &
Accuracy was 84.0% . For lung contusion ; US chest Sensitivity was 82.61% , Specificity was 100.0% , PPV was 100.0% , NPV
87.50% & Accuracy was 92.16% compared to chest x -ray Sensitivity was 50.0, Specificity was 100.0% , PPV was 100.0% , NPV
71.79% & Accuracy was 78.0. For pericardial effussion ;  US chest Sensitivity was 100.0% , Specificity was 100.0% , PPV was
100.0% , NPV 100.0% & Accuracy was 100.0% compared to chest x -ray Sensitivity was 0%, Specificity was 100.0% , PPV was 0%
, NPV 94.0% & Accuracy was 94.0% .

Key words: Thoracic injuries, blunt cardiac injuries, thoracic trauma
Published online 6 August, 2015
© 2015 Published by Global Science Publishing Group, USA

How to Cite this Article:

Mona Abd El baset Mahmoud Khattab, Khaled Saad Eldein Hamed Karara, Sherif  Elsayed Hegab, Ayman Ahmed Nosseir (2015). 
Study of the role of ultrasonography in blunt chest trauma in emergencyBiolife, 3(3), pp 697-701. doi:10.17812/blj.2015.3320

Link to this article: http://biolifejournal.com/10.17812_blj.2015.3320.html
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