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15分钟会诊:使用床旁超声评估呼吸衰竭患儿

Fifteen-minute consultation: Using point of care ultrasound to assess children with respiratory failure.

作者信息

Ord Helen L, Griksaitis Michael J

机构信息

Paediatric Intensive Care Unit, Southampton Children's Hospital, Southampton, UK.

Faculty of Medicine, University of Southampton, Southampton, UK.

出版信息

Arch Dis Child Educ Pract Ed. 2019 Feb;104(1):2-10. doi: 10.1136/archdischild-2017-313795. Epub 2018 May 25.

Abstract

Point of care ultrasound (POCUS) is well established in adult emergency medicine and critical care. It is used for immediate diagnosis and evaluation of the impact of bedside interventions in the acutely unwell child. This article highlights how ultrasound can be helpful in paediatric practice when dealing with the neonate, infant or older child with undifferentiated respiratory distress, respiratory failure or ventilation problems. It highlights indications for use, key diagnostic features of common pathology and outlines the benefits of POCUS in everyday practice.

摘要

床旁超声(POCUS)在成人急诊医学和重症监护中已得到广泛应用。它用于对急症患儿进行即时诊断,并评估床旁干预措施的效果。本文重点介绍了在处理患有不明原因呼吸窘迫、呼吸衰竭或通气问题的新生儿、婴儿或大龄儿童时,超声在儿科临床实践中的作用。文中强调了其使用指征、常见病症的关键诊断特征,并概述了床旁超声在日常临床实践中的优势。

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