Soldati Gino, Gargani Luna, Silva Fernando R
Emergency Department, ASL 2, Ospedale di Castelnuovo Garfagnana, Lucca, Italy.
Intern Emerg Med. 2008 Mar;3(1):37-41. doi: 10.1007/s11739-008-0114-6. Epub 2008 Feb 9.
The topic of heart failure (HF) in the emergency department is today relevant, since there are new serum markers and imaging techniques that may help in the diagnosis of this disease. Natriuretic peptides have now entered the flowchart for etiologic diagnosis in patients with acute dyspnea, when technical facilities are available. Recently, chest ultrasonography has been shown to be useful for the noninvasive assessment of extravascular lung water. Starting from this practical standpoint, we propose that simple chest ultrasonographic signs can provide a totally noninvasive characterization of pulmonary congestion in patients with HF.
如今，急诊科中心力衰竭（HF）这一话题备受关注，因为出现了新的血清标志物和成像技术，它们可能有助于该疾病的诊断。当具备技术设备时，利钠肽现已纳入急性呼吸困难患者病因诊断的流程中。最近，胸部超声检查已被证明对血管外肺水的无创评估有用。从这一实际角度出发，我们提出简单的胸部超声征象可为HF患者的肺充血提供完全无创的特征描述。
