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[基层医疗中的床旁超声。它是一种高分辨率工具吗?]

[Point of Care Ultrasound in Primary Care. Is it a high resolution tool?].

作者信息

Calvo Cebrián Antonio, López García-Franco Alberto, Short Apellaniz Jorge

机构信息

Médico de Familia, CS Galapagar, Grupo de Trabajo Ecografía SoMaMFyC, Galapagar, Madrid, España.

Médico de Familia, CS Dr. Mendiguchía Carriche, Grupo de Trabajo Ecografía SoMaMFyC, Leganés, Madrid, España.

出版信息

Aten Primaria. 2018 Oct;50(8):500-508. doi: 10.1016/j.aprim.2017.11.007. Epub 2018 Mar 31.

Abstract

Point-of-Care Ultrasound is a method of performing a rapid clinical ultrasound, with the aim of responding to a clinical question immediately. This is not an ultrasound performed systematically as the radiologists do, nor does it pretend to replace it. It is useful in some kind of screening (abdominal aortic aneurysm) and is of special interest in ultrasound-guided procedures (joint infiltration by injection). It allows to adapt the derivations, minimising the uncertainty, ruling out certain pathologies due to its high diagnostic precision. It can also lead to overdiagnosis, if the examinations carried out are not limited to the organs on which our clinical suspicion is based. Ultrasound is one tool more in the diagnostic process, but its use must be limited to certain clinical situations. Its use in early detection of prevalent diseases in Primary Care should be properly evaluated. On the other hand with more evidence of a high diagnostic accuracy in a large list of pathological conditions.

摘要

床旁超声是一种进行快速临床超声检查的方法,目的是立即回答临床问题。这不是像放射科医生那样系统地进行的超声检查,也不打算取代它。它在某种筛查(腹主动脉瘤)中很有用,在超声引导的操作(注射关节浸润)中特别有意义。它可以调整转诊,将不确定性降至最低,因其高诊断精度排除某些病理情况。如果进行的检查不限于我们临床怀疑所基于的器官,它也可能导致过度诊断。超声是诊断过程中的又一种工具,但其使用必须限于某些临床情况。其在初级保健中用于常见疾病早期检测的用途应得到适当评估。另一方面,在大量病理状况中有更多高诊断准确性的证据。

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