Bornemann Paul, Jayasekera Neil, Bergman Kevin, Ramos Mena, Gerhart Jaqueline
Palmetto Health Family Medicine Residency, Department of Family and Preventive Medicine, University of South Carolina School of Medicine, Columbia, South Carolina, USA. E-mail:
Contra Costa Family Medicine Residency, Department of Family and Community Medicine, University of California San Francisco School of Medicine, San Francisco, CA, USA.
J Fam Pract. 2018 Feb;67(2):70-80.
Point-of-care ultrasound (POCUS) has been gaining greater traction in recent years as a way to quickly (and cost-effectively) assess for conditions including systolic dysfunction, pleural effusion, abdominal aortic aneurysms (AAA), and deep vein thrombosis (DVT). It involves limited and specific ultrasound protocols performed at the bedside by the health care provider who is trying to answer a specific question and, thus, help guide treatment of the patient. In this article, we will review the evidence for the use of POCUS in 4 areas: the cardiovascular exam, the lung exam, the screening exam for AAAs, and the evaluation for DVT. For all of these applications, POCUS is safe, accurate, and beneficial and can be performed with a relatively small amount of training by non-radiology specialists, including family physicians.
近年来，床旁超声检查（POCUS）作为一种快速（且经济高效）评估包括收缩功能障碍、胸腔积液、腹主动脉瘤（AAA）和深静脉血栓形成（DVT）等病症的方法，越来越受到关注。它涉及由试图回答特定问题的医护人员在床边执行的有限且特定的超声检查方案，从而有助于指导患者的治疗。在本文中，我们将回顾POCUS在四个领域应用的证据：心血管检查、肺部检查、AAA筛查检查以及DVT评估。对于所有这些应用，POCUS都是安全、准确且有益的，并且经过相对少量的培训，非放射科专家（包括家庭医生）即可操作。
