解读心脏“超声心动图”报告。给转诊医生的实用指南。
Understanding cardiac "echo" reports. Practical guide for referring physicians.
作者信息
McAlister Neil H, McAlister Nazlin K, Buttoo Kenneth
机构信息
Medical Consultants Group, Pickering, ON.
出版信息
Can Fam Physician. 2006 Jul;52(7):869-74.
OBJECTIVE
To help referring physicians extract clinically useful information from transthoracic echocardiography (TTE) reports, highlighting current practice and innovations that are reflected with increasing frequency in reports issued by echocardiac laboratories.
QUALITY OF EVIDENCE
Echocardiography is an established science. The field has a large body of literature, including peer-reviewed articles and textbooks describing the physics, techniques, and clinical applications of TTE.
MAIN MESSAGE
Transthoracic echocardiography is a basic tool for diagnosis and follow-up of heart disease. Items of interest in TTE reports can be categorized. In clinical practice, TTE results are best interpreted with a view to underlying cardiac physiology and patients' clinical status. Knowing the inherent limitations of TTE will help referring physicians to interpret results and to avoid misdiagnoses based on false assumptions about the procedure.
CONCLUSION
A structured approach to reading TTE reports can assist physicians in extracting clinically useful information from them, while avoiding common pitfalls.
目的
帮助转诊医生从经胸超声心动图（TTE）报告中提取临床有用信息，突出心脏超声实验室报告中越来越频繁体现的当前实践和创新。
证据质量
超声心动图是一门成熟的科学。该领域有大量文献，包括同行评审文章和描述TTE的物理、技术及临床应用的教科书。
主要信息
经胸超声心动图是心脏病诊断和随访的基本工具。TTE报告中的相关项目可进行分类。在临床实践中，最好结合潜在的心脏生理学和患者的临床状况来解读TTE结果。了解TTE的固有局限性将有助于转诊医生解读结果，并避免基于对该检查的错误假设而导致的误诊。
结论
采用结构化方法阅读TTE报告可帮助医生从中提取临床有用信息，同时避免常见陷阱。
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