Beckh Sonja, Bölcskei Pál L, Lessnau Klaus-Dieter
Department of Pulmonary Sonography, Center of Internal Medicine, Nuremberg, Germany.
Chest. 2002 Nov;122(5):1759-73. doi: 10.1378/chest.122.5.1759.
This review discusses real-time pulmonary ultrasonography (US) for the practicing pulmonologist. US supplements chest radiography and chest CT scanning. Major advantages include bedside availability, absence of radiation, and guided aspiration of fluid-filled areas and solid tumors. Pulmonary vessels and vascular supply of consolidations may be visualized without contrast. US may help to diagnose conditions such as pneumothorax, hemothorax, pleural or pericardial effusion, pneumonia, and pulmonary embolism in the critically ill patient who is in need of bedside diagnostic testing. The technique of US, which is cost-effective compared to CT scanning and MRI, may be learned relatively easily by the pulmonologist.
本综述探讨了供执业肺科医生使用的实时肺部超声检查（US）。超声检查是对胸部X线摄影和胸部CT扫描的补充。其主要优点包括可在床边进行、无辐射，以及能够引导对液性区域和实体肿瘤进行穿刺抽吸。无需造影剂即可观察到肺血管及实变区域的血管供应情况。对于需要床边诊断检查的危重症患者，超声检查有助于诊断气胸、血胸、胸腔或心包积液、肺炎以及肺栓塞等疾病。与CT扫描和MRI相比，超声检查技术性价比高，肺科医生相对容易学会。
