Kaneko Tanja, Heinz Wolfgang
Medizin. Klinik B - Ruppiner Kliniken, Neuruppin.
Karl-Olga-Krankenhaus, Stuttgart.
Dtsch Med Wochenschr. 2015 Oct;140(21):1606-9. doi: 10.1055/s-0041-106448. Epub 2015 Oct 21.
Diagnostic ultrasound is without doubt the imaging technique of choice in patients with acute abdominal pain. Point-of-care ultrasound examinations can help to reduce the number of possible differential diagnoses by exclusion or - as a best case scenario - show us directly the correct diagnosis. Hence patients can benefit from a very early appropriate therapeutic approach. This article illustrates where and how we should "look". After focusing on basic technical settings, typical pathological sonomorphologic changes in patients with some of the most important illnesses are characterized (e. g. acute appendicitis, acute cholecystitis, acute diverticulitis, acute pancreatitis and urinary tract occlusion). Ultrasound beginners are the target group of this survey.
诊断性超声无疑是急性腹痛患者的首选成像技术。床旁超声检查有助于通过排除来减少可能的鉴别诊断数量，或者——在最佳情况下——直接向我们显示正确的诊断。因此，患者可以从非常早期的适当治疗方法中受益。本文阐述了我们应该“看”哪里以及如何“看”。在关注基本技术设置之后，对一些最重要疾病患者的典型病理超声形态学变化进行了描述（例如急性阑尾炎、急性胆囊炎、急性憩室炎、急性胰腺炎和尿路梗阻）。本次调查的目标群体是超声初学者。
