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[重症监护中的影像学]

[Imaging in intensive care].

作者信息

Alfke H, Lorenz J

机构信息

Klinik für Pneumologie, Internistische Intensivmedizin, Infektiologie und Schlafmedizin, Klinikum Lüdenscheid, Paulmannshöher Straße 14, 58509, Lüdenscheid, Deutschland.

出版信息

Internist (Berl). 2011 Oct;52(10):1191-202; quiz 1203. doi: 10.1007/s00108-011-2881-9.

Abstract

The application of imaging methods in patients that are highly dependent on medical support is limited. Ultrasound has a prominent impact due to its flexibility, bedside availability, rapid results, and cost-effectiveness - especially in the assessment of cardiovascular and abdominal diseases. Ultrasound artifacts at the pleura-air interface play an emerging role in the diagnosis of thoracic disease. X-ray imaging is increasingly limited to the assessment of medical artifacts and the follow-up of pulmonary disorders. Daily routine chest X-rays should be abandoned. Multidetector computed tomography has evolved as the gold standard in the definitive diagnosis of many acute critical disorders despite the need for patient transportation. The application of magnetic resonance tomography is in contrast restricted to specific central nervous system diseases.

摘要

成像方法在高度依赖医疗支持的患者中的应用有限。超声因其灵活性、床边可及性、结果快速及成本效益高而具有显著影响——尤其是在评估心血管和腹部疾病方面。胸膜-空气界面处的超声伪像在胸部疾病诊断中发挥着越来越重要的作用。X线成像越来越局限于对医疗伪像的评估和肺部疾病的随访。应摒弃每日常规胸部X线检查。尽管需要运送患者,但多排螺旋计算机断层扫描已成为许多急性危重症确诊诊断的金标准。相比之下,磁共振断层扫描的应用仅限于特定的中枢神经系统疾病。

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