Schulte am Esch J
Abteilung für Anästhesiologie, Universitäts-Krankenhaus Eppendorf, Hamburg.
Rontgenblatter. 1989 Jul;42(7):286-91.
Diagnostic procedures of the thorax in intensive-care units are conventional x-ray chest images, chest images by digital luminescence radiography, sonography and transoesophageal Doppler echocardiography. In addition to these bedside methods the stationary usable techniques, such as computed tomography, digital subtraction angiography and the seldom in intensive care patients used computed nuclear spin resonance tomography (NMR) are applicable. The selection of the above mentioned techniques depends on the availability and the quality of the methods as well as the qualifications of the involved staff. The diagnostic procedures of the chest must be arranged depending on the decision if patients have to be transported or not. In conclusion it can be stated that in spite of growing technical preconditions the availability of the methods in immobile patients and the diagnostic potency of the techniques have to be examined.
重症监护病房中胸部的诊断程序包括传统的胸部X光图像、数字荧光放射成像的胸部图像、超声检查和经食管多普勒超声心动图。除了这些床边检查方法外,一些固定使用的技术,如计算机断层扫描、数字减影血管造影以及在重症监护患者中很少使用的计算机核磁共振断层扫描(NMR)也适用。上述技术的选择取决于方法的可用性和质量以及相关工作人员的资质。胸部诊断程序必须根据患者是否需要转运的决定来安排。总之,可以说尽管技术前提条件不断发展,但仍需检查在不能移动的患者中这些方法的可用性以及技术的诊断效能。