Milkau M, Noll T, Sayk F
Sektion Interdisziplinäre Intensivmedizin, Sana Kliniken Lübeck GmbH, Kronsforder Allee 71-73, 23560, Lübeck, Deutschland.
Medizinische Klinik I, Sana Kliniken Lübeck GmbH, Kronsforder Allee 71-73, 23560, Lübeck, Deutschland.
Med Klin Intensivmed Notfmed. 2018 Nov;113(8):638-648. doi: 10.1007/s00063-018-0491-1. Epub 2018 Oct 9.
Point-of-care ultrasound is a fundamental part of diagnostic and therapeutic management in emergency and intensive care medicine. The availability of high-resolution mobile ultrasound systems allows high-quality imaging at the bedside of the patient. Point-of-care ultrasound is not a comprehensive differential diagnostic abdominal ultrasound examination. Rather, the aim of the method is to integrate easily detectable sonographic findings into the clinical context. From this, the necessary diagnostic or therapeutic procedures are derived. This article shows opportunities and limitations of this method. The structure of the article is given by the leading clinical symptoms. The focus is on the ultrasound examination and the characteristic sonographic findings with illustrative ultrasound images. This is followed by a short differential diagnostic interpretation. Further diagnostic or therapeutic management is also briefly addressed.
床旁超声是急诊和重症医学诊断与治疗管理的重要组成部分。高分辨率移动超声系统的出现使得在患者床边就能进行高质量成像。床旁超声并非全面的腹部鉴别诊断超声检查。相反，该方法的目的是将易于检测到的超声检查结果融入临床情境中，并据此得出必要的诊断或治疗程序。本文展示了该方法的机遇与局限性。文章结构以主要临床症状为导向，重点在于超声检查以及具有说明性超声图像的典型超声检查结果，随后是简短的鉴别诊断解读，还简要讨论了进一步的诊断或治疗管理。
