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[即时超声检查在家庭医学中的实用性和可靠性：聚焦心脏和肺部超声]

[Usefulness and reliability of point of care ultrasound in Family Medicine: Focused cardiac and lung ultrasound].

作者信息

Diaz Sánchez Santiago, Conangla Ferrín Laura, Sánchez Barrancos Ignacio Manuel, Pujol Salud Jesús, Tarrazo Suárez José Antonio, Morales Cano José Manuel

机构信息

Especialista en Medicina Familiar y Comunitaria; Grupo de Trabajo de Ecografía, Sociedad Española de Medicina Familiar y Comunitaria, España; Centro de Salud Los Pintores, Servicio Madrileño de Salud, Parla, Madrid, España.

Especialista en Medicina Familiar y Comunitaria; Grupo de Trabajo de Ecografía, Sociedad Española de Medicina Familiar y Comunitaria, España; Centro de Atención Primaria Badalona2, Centre Dalt la Vila, Instituto Catalán de la Salud, Badalona, Barcelona, España.

出版信息

Aten Primaria. 2019 Mar;51(3):172-183. doi: 10.1016/j.aprim.2018.11.008. Epub 2019 Jan 23.

DOI:10.1016/j.aprim.2018.11.008
PMID:30685205
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6837151/
Abstract

The family doctor incorporates clinical ultrasound as an exploration and diagnosis technique in his care activity, the same way as the rest of the specialists. His generalist role makes him a potential user of all possible applications of this technique, which can provide a high impact on his ability to manage, focus and solve a large number of clinical situations. In this article we focus on assessing the usefulness and reliability of clinical ultrasound performed by the family doctor in their most novel aspects such as focused cardiac ultrasound and lung ultrasound.

摘要

家庭医生在其诊疗活动中，与其他专科医生一样，将临床超声作为一种检查和诊断技术。其全科医生的角色使他有可能使用该技术的所有可能应用，这对他管理、聚焦和解决大量临床情况的能力可能产生重大影响。在本文中，我们着重评估家庭医生进行的临床超声在其最新颖的方面，如心脏聚焦超声和肺部超声的实用性和可靠性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f463/6837151/013dc4e50ab2/gr19.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f463/6837151/c1f4a66bd449/gr16.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f463/6837151/5028177c56f3/gr17.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f463/6837151/f0b8c1502e80/gr18.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f463/6837151/013dc4e50ab2/gr19.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f463/6837151/7c0e207a907d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f463/6837151/af29b5a3d664/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f463/6837151/0f5f5896ff51/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f463/6837151/e95873277411/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f463/6837151/9f6c6bb2f9d9/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f463/6837151/633e6119b8ba/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f463/6837151/bbd4da07ee60/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f463/6837151/5d8863b52713/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f463/6837151/e220dd07292e/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f463/6837151/1a6a8283d47a/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f463/6837151/90e9fa71dcc5/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f463/6837151/8e83f571bb4b/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f463/6837151/2b5d9a57e223/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f463/6837151/afd0cebd4e1c/gr14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f463/6837151/b94f8d53ec7f/gr15.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f463/6837151/c1f4a66bd449/gr16.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f463/6837151/5028177c56f3/gr17.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f463/6837151/f0b8c1502e80/gr18.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f463/6837151/013dc4e50ab2/gr19.jpg

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Rev Clin Esp (Barc). 2018 May;218(4):192-198. doi: 10.1016/j.rce.2018.02.001. Epub 2018 Mar 5.
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Time to Add a Fifth Pillar to Bedside Physical Examination: Inspection, Palpation, Percussion, Auscultation, and Insonation.是时候给床边体检增加第五个支柱了：视诊、触诊、叩诊、听诊和超声检查。
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基层医疗中的超声：应用和培训的共识建议。三轮 Delphi 研究的结果。
Eur J Gen Pract. 2022 Dec;28(1):253-259. doi: 10.1080/13814788.2022.2150163.
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Lung Ultrasound as a Triage Method in Primary Care for Patients with Suspected SARS-CoV-2 Pneumonia.肺部超声作为基层医疗中疑似新型冠状病毒肺炎患者的分诊方法
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Thoracic ultrasound for pleural effusion in the intensive care unit: a narrative review from diagnosis to treatment.重症监护病房胸腔积液的超声检查：从诊断到治疗的叙述性综述。
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Ultrasonographic quantification of pleural effusion: comparison of four formulae.超声对胸腔积液的定量分析：四种公式的比较
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Focused echocardiography and lung ultrasound protocol for guiding treatment in acute heart failure.聚焦超声心动图和肺部超声在急性心力衰竭治疗中的应用。
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Lung ultrasound in internal medicine efficiently drives the management of patients with heart failure and speeds up the discharge time.内科肺部超声可高效指导心力衰竭患者的管理并加快其出院时间。
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Dynamic changes and prognostic value of pulmonary congestion by lung ultrasound in acute and chronic heart failure: a systematic review.肺部超声评估急性和慢性心力衰竭患者肺淤血的动态变化及其预后价值的系统评价。
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[Ultrasound and Primary Care].[超声与初级保健]
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