FAST 创伤超声检查清单
用途适用： trauma primary survey when bedside ultrasound is available to screen for hemorrhage/effusion.
分层Positive FAST supports urgent hemorrhage pathways. Negative FAST does not exclude all injury.
局限不适用： as the sole reason to skip CT in a stable patient when CT is ind… · 易错点： calling FAST negative without adequate windows. · Operator skill and body habitus affect sensitivity.
出处Rozycki / ATLS FAST teaching literature
本班次下一步
评完分数后：进场景连算、看相邻评分、打开对应路径。本地参考，不写入 HIS。
方法学 · 公式代入、指南要点与完整说明
适用场景
适用： trauma primary survey when bedside ultrasound is available to screen for hemorrhage/effusion.
需要填写的项目
- Right upper quadrant (Morison / perihepatic) — free fluid · 选项
- Left upper quadrant (perisplenic) — free fluid · 选项
- Pelvis (pouch of Douglas / rectovesical) — free fluid · 选项
- Subxiphoid / parasternal — pericardial effusion · 选项
- eFAST: Right pleural (lung slide / hemothorax view) · 选项
- eFAST: Left pleural (lung slide / hemothorax view) · 选项
计算方法与公式
Views: RUQ (Morison), LUQ (perisplenic), pelvis, pericardium ± bilateral pleural (eFAST). Any fluid = positive.
Perform sequential views; mark each positive/negative. Integrate with hemodynamics and ATLS priorities.
公式代入演示
下列数值取自本工具各输入项的示例值，用本页公式在服务端实际算出，供快速核对计算过程。仅演示代入方法，不构成临床建议，也不代表任何真实病例。
| Right upper quadrant (Morison / perihepatic) — free fluid | 阴性 (0) |
|---|---|
| Left upper quadrant (perisplenic) — free fluid | 阴性 (0) |
| Pelvis (pouch of Douglas / rectovesical) — free fluid | 阴性 (0) |
| Subxiphoid / parasternal — pericardial effusion | 阴性 (0) |
| eFAST: Right pleural (lung slide / hemothorax view) | Negative / not done (0) |
| eFAST: Left pleural (lung slide / hemothorax view) | Negative / not done (0) |
→FASTAll views negative
- 阳性 regions：0
- eFAST pleural+：0
| Right upper quadrant (Morison / perihepatic) — free fluid | 阳性 |
|---|---|
| Left upper quadrant (perisplenic) — free fluid | 阳性 |
| Pelvis (pouch of Douglas / rectovesical) — free fluid | 阳性 |
| Subxiphoid / parasternal — pericardial effusion | 阳性 |
| eFAST: Right pleural (lung slide / hemothorax view) | 阳性 |
| eFAST: Left pleural (lung slide / hemothorax view) | 阳性 |
→FASTPOSITIVE — abdominal free fluid + pericardial effusion + pleural finding
- 阳性 regions：6
- Abdominal+：3
- Pericardial+：是
结果判读与分层
Positive FAST supports urgent hemorrhage pathways. Negative FAST does not exclude all injury.
指南要点（原创整理）
- Checklist of standard views.
- Any positive = actionable.
- 下一步： ATLS / eFAST / CT trauma.
以上为依据相应指南的关键推荐、由本站用自己的语言归纳整理（非指南原文）；完整内容请见下方官方来源。
注意事项与局限
- 不适用： as the sole reason to skip CT in a stable patient when CT is indicated.
- 易错点： calling FAST negative without adequate windows.
- Operator skill and body habitus affect sensitivity.
核对与出处 · 可验证治理
参考指南与出处
- Rozycki / ATLS FAST teaching literature
- eFAST extension for pneumo/hemothorax screening
指南全文版权归相应学会/期刊所有；本工具仅实现其决策算法并注明出处，全文请经上方官方来源获取。
依据文献年份见参考 · 数据集整理日 2026-10-08
常见问题
常见问题
- FAST 创伤超声检查清单的计算是否上传患者数据？在哪里计算？
- 计算在浏览器本地完成，输入与结果不上传服务器；结果仅供执业医师参考，须结合病史、检查与本机构方案判断，不构成诊断或处方依据。
- FAST 创伤超声检查清单怎么代入计算？能举个例子吗？
- 代入: Right upper quadrant (Morison / perihepatic) — free fluid 阴性 (0)、Left upper quadrant (perisplenic) — free fluid 阴性 (0)、Pelvis (pouch of Douglas / rectovesical) — free fluid 阴性 (0)、Subxiphoid / parasternal — pericardial effusion 阴性 (0)、eFAST: Right pleural (lung slide / hemothorax view) Negative / not done (0)、eFAST: Left pleural (lung slide / hemothorax view) Negative / not done (0) → 结果: FAST All views negative（阳性 regions: 0、eFAST pleural+: 0） 代入: Right upper quadrant (Morison / perihepatic) — free fluid 阳性、Left upper quadrant (perisplenic) — free fluid 阳性、Pelvis (pouch of Douglas / rectovesical) — free fluid 阳性、Subxiphoid / parasternal — pericardial effusion 阳性、eFAST: Right pleural (lung slide / hemothorax view) 阳性、eFAST: Left pleural (lung slide / hemothorax view) 阳性 → 结果: FAST POSITIVE — abdominal free fluid + pericardial effusion + pleural finding（阳性 regions: 6、Abdominal+: 3、Pericardial+: 是）
核对流程与方法学
核对与依据
本工具的公式与计算方法已在本页明示、公开可逐一核查。其公式、系数与阈值依据上方「参考指南与出处」列出的权威来源核对。想了解本站对全部临床工具的核对流程与出处覆盖情况，见 临床工具核对表与方法学 →