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医学决策过程中的临床超声检查——临床决策中的床旁超声检查。

Clinical ultrasonography in the decision-making process in medicine point-of-care ultrasound in clinical decision making.

作者信息

García de Casasola G, Casado López I, Torres-Macho J

机构信息

Servicio de Medicina Interna, Hospital Universitario Infanta Cristina, Parla, España; Departamento de Medicina, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, España; Grupo de Trabajo de Ecografía Clínica, Sociedad Española de Medicina Interna.

Servicio de Medicina Interna, Hospital Universitario Infanta Cristina, Parla, España; Departamento de Medicina, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, España; Grupo de Trabajo de Ecografía Clínica, Sociedad Española de Medicina Interna.

出版信息

Rev Clin Esp (Barc). 2020 Jan-Feb;220(1):49-56. doi: 10.1016/j.rce.2019.04.004. Epub 2019 May 29.

DOI:10.1016/j.rce.2019.04.004
PMID:31151738
Abstract

Clinical ultrasonography has undergone significant development in recent years due to its considerable usefulness and equipment miniaturisation, which have enabled its use at the point of care. Clinical ultrasonography is a tool that supplements the classical anamnesis and physical examination, thereby increasing the practitioner's diagnostic power. This tool can be employed in numerous clinical scenarios and can be applied at all steps when making decisions about the patient. In the hands of the general practitioner, ultrasonography of the various areas of the body (multiorgan ultrasonography) optimises not only the diagnostic capacity but also the prognostic stratification and monitoring of progress after treatment has been applied. As with the systematic nature of conventional physical examinations, we need to establish an ultrasound examination protocol that supplements the physical examination, thereby redefining and boosting the classic examination.

摘要

近年来,临床超声检查因其具有相当大的实用性以及设备小型化而得到了显著发展,这使得它能够在床旁使用。临床超声检查是一种补充传统问诊和体格检查的工具,从而增强从业者的诊断能力。该工具可用于众多临床场景,并且在对患者做出决策的所有步骤中均可应用。在全科医生手中,对身体各个部位进行超声检查(多器官超声检查)不仅能优化诊断能力,还能优化预后分层以及治疗后病情进展的监测。与传统体格检查的系统性一样,我们需要建立一种补充体格检查的超声检查方案,从而重新定义并加强经典检查。

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