Andrès Emmanuel, Reichert Sandra, Gass Raymond, Brandt Christian
Department of Internal Medicine, Clinique Médicale B, CHRU Strasbourg, Strasbourg, France.
Eur J Intern Med. 2009 May;20(3):323-7. doi: 10.1016/j.ejim.2008.08.013. Epub 2008 Oct 15.
Auscultation of pulmonary sounds provides valuable clinical information but has been regarded as a tool of low diagnostic value due to the inherent subjectivity in the evaluation of these sounds. This paper describes an ambitious study of in the so-called ASAP project or "Analyse de Sons Auscultatoires et Pathologiques". ASAP is a 3-year-long French collaborative project developed in the context of the News Technologies of Information and Communication. ASAP aims at making evolve the auscultation technics: by 1) the development objective tools for the analyse of auscultation sounds: electronic stethoscopes paired with computing device; 2) the creation of an auscultation sounds' database in order to compare and identify the acoustical and visual signatures of the pathologies; and 3) the capitalisation of these new auscultation techniques around the creation of a teaching unit: "Ecole de l'Auscultation". This auscultation's school will be destined to the initial and continuous formation of the medical attendants.
肺部听诊可提供有价值的临床信息,但由于对这些声音进行评估时存在固有的主观性,它一直被视为一种诊断价值较低的工具。本文描述了一项在所谓的ASAP项目(即“病理性听诊声音分析”)中的宏大研究。ASAP是一个为期三年的法国合作项目,是在信息与通信新技术背景下开展的。ASAP旨在改进听诊技术:一是开发用于分析听诊声音的客观工具,即与计算设备配对的电子听诊器;二是创建一个听诊声音数据库,以便比较和识别各种病症的声学和视觉特征;三是围绕创建一个教学单元“听诊学校”,将这些新的听诊技术加以利用。这个听诊学校将用于医护人员的初始培训和持续培训。