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胸部急诊超声检查

Emergency ultrasound of the chest.

作者信息

Kreuter Michael, Mathis Gebhard

机构信息

Pneumology and Respiratory Critical Care Medicine, Thoraxklinik, University of Heidelberg, and Translational Lung Research Center Heidelberg, Member of the German Center for Lung Research, Heidelberg, Germany.

出版信息

Respiration. 2014;87(2):89-97. doi: 10.1159/000357685. Epub 2014 Jan 15.

Abstract

Thoracic ultrasound is a noninvasive and portable diagnostic tool which is highly indicated for an initial workup of thoracic emergencies. The suspicion of a pneumothorax, pneumonia, pulmonary embolism or a lung contusion after trauma can be quickly assessed using ultrasound. Main advantages are its good availability and the steep learning curve. Another advantage of thoracic sonography is that this rapid, symptom-based examination has a high sensitivity and specificity. However, a disadvantage is that only pleura-affecting lesions or lesions visible through a sound window, e.g. an effusion or a subpleural consolidation, can be reached.

摘要

胸部超声是一种无创且便携的诊断工具,在胸部急症的初步检查中具有很高的应用价值。通过超声可以快速评估是否存在气胸、肺炎、肺栓塞或创伤后肺挫伤。其主要优点是易于获得且学习曲线平缓。胸部超声的另一个优点是,这种基于症状的快速检查具有很高的敏感性和特异性。然而,其缺点是只能检测到累及胸膜的病变或通过声窗可见的病变,例如胸腔积液或胸膜下实变。

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