Moya Mateo E, Muñoz Rivas N
Servicio de Medicina Interna, Hospital Universitario Infanta Leonor, Madrid, España; Grupo de Trabajo de Ecografía Clínica, Sociedad Española de Medicina Interna, España.
Servicio de Medicina Interna, Hospital Universitario Infanta Leonor, Madrid, España; Grupo de Trabajo de Ecografía Clínica, Sociedad Española de Medicina Interna, España.
Rev Clin Esp (Barc). 2020 Mar;220(2):126-134. doi: 10.1016/j.rce.2019.05.014. Epub 2019 Aug 8.
The use of clinical ultrasonography has grown exponentially in the past decade in various medical settings. As with other areas of activity in the field of internal medicine, clinical ultrasonography has been implemented in venous thromboembolism disease, both in deep vein thrombosis and pulmonary embolism. In this review, we cover the diagnostic techniques, both for deep vein thrombosis through compression ultrasonography and for multiorgan ultrasonography, which include compression ultrasonography, pulmonary ultrasonography in the search for pulmonary infarctions and echocardiography for detecting dilation and right ventricular dysfunction for the diagnosis of pulmonary embolism. We also establish the most common clinical scenarios in which clinical ultrasonography can be of assistance in actual clinical practice, as well as its limitations and current evidence.
在过去十年中，临床超声检查在各种医疗环境中的应用呈指数级增长。与内科领域的其他活动领域一样，临床超声检查已应用于静脉血栓栓塞性疾病，包括深静脉血栓形成和肺栓塞。在这篇综述中，我们涵盖了诊断技术，包括通过压迫超声检查诊断深静脉血栓形成，以及多器官超声检查，其中包括压迫超声检查、用于寻找肺梗死的肺部超声检查以及用于检测扩张和右心室功能障碍以诊断肺栓塞的超声心动图检查。我们还确定了临床超声检查在实际临床实践中可能提供帮助的最常见临床情况，以及其局限性和当前证据。
