Oxford Centre for Respiratory Medicine, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
University of Oxford Respiratory Trials Unit, Churchill Hospital, Oxford, UK.
Thorax. 2017 Sep;72(9):840-849. doi: 10.1136/thoraxjnl-2016-209340. Epub 2017 Apr 14.
The use of thoracic ultrasound outside the radiology department and in everyday clinical practice is becoming increasingly common, having been incorporated into standards of care for many specialties. For the majority of practitioners, their experience of, and exposure to, thoracic ultrasound will be in its use as an adjunct to pleural and thoracic interventions, owing to the widely recognised benefits for patient safety and risk reduction. However, as clinicians become increasingly familiar with the capabilities of thoracic ultrasound, new directions for its use are being sought which might enhance practice and patient care. This article reviews the ways in which the advent of thoracic ultrasound is changing the approach to the investigation and treatment of respiratory disease from an interventional perspective. This will include the impact of thoracic ultrasound on areas including patient safety, diagnostic and therapeutic procedures, and outcome prediction; and will also consider potential future research and clinical directions.
胸科超声在放射科以外的领域和日常临床实践中的应用越来越普遍，已被纳入许多专业的护理标准。对于大多数从业者来说，他们的胸科超声经验和接触主要是在胸腔和胸科介入治疗中作为辅助手段，这是因为其对患者安全和风险降低有广泛的益处。然而，随着临床医生越来越熟悉胸科超声的功能，人们正在寻求新的应用方向，以提高实践和患者护理的水平。本文综述了从介入的角度来看，胸科超声的出现如何改变了呼吸疾病的调查和治疗方法。这将包括胸科超声对包括患者安全、诊断和治疗程序以及预后预测等方面的影响；还将考虑潜在的未来研究和临床方向。
