Department of General Medicine, Christchurch Hospital, Canterbury District Health Board, Christchurch, New Zealand.
Intern Med J. 2019 Aug;49(8):1025-1028. doi: 10.1111/imj.14383.
We reviewed the medical records of all patients who underwent portable bedside echocardiography under general medicine over a 15-month period. The mean age of patients was 67 years (range 16-95) (n = 201). Indications for scanning included syncope (27%), murmur (17%) and dyspnoea (14%); findings included valve abnormalities (46%), left ventricular hypertrophy (26%) and dilated left ventricle (15%). Bedside echocardiography is a useful extension of the physical examination but is operator-dependent, and its routine use in general medicine will depend on the availability of training, group reporting sessions and quality assurance.
我们回顾了在过去 15 个月中在普通内科进行便携式床旁超声心动图检查的所有患者的医疗记录。患者的平均年龄为 67 岁（范围为 16-95 岁）（n = 201）。扫描的适应症包括晕厥（27%）、杂音（17%）和呼吸困难（14%）；发现包括瓣膜异常（46%）、左心室肥厚（26%）和左心室扩张（15%）。床旁超声心动图是体检的有益扩展，但依赖于操作者，其在普通内科中的常规使用将取决于培训、小组报告会议和质量保证的可用性。
