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在诊断不明确的急性呼吸困难中,美国内科医师学会建议可将床旁超声检查添加到标准诊断流程中。

In acute dyspnea with diagnostic uncertainty, ACP suggests POCUS may be added to the standard diagnostic pathway.

作者信息

Kirschner Jonathan M, Hunter Benton R

机构信息

Indiana University School of Medicine, Indianapolis, Indiana, USA (J.M.K., B.R.H.).

出版信息

Ann Intern Med. 2021 Sep;174(9):JC99. doi: 10.7326/ACPJ202109210-099. Epub 2021 Sep 7.

DOI:10.7326/ACPJ202109210-099
PMID:34487447
Abstract

Qaseem A, Etxeandia-Ikobaltzeta I, Mustafa RA, et al. Ann Intern Med. 2021;174:985-93. 33900792.

摘要

卡西姆·A、埃克森迪亚-伊科巴尔策塔·I、穆斯塔法·R·A等。《内科学年鉴》。2021年;174:985 - 93。33900792。

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1
In acute dyspnea with diagnostic uncertainty, ACP suggests POCUS may be added to the standard diagnostic pathway.在诊断不明确的急性呼吸困难中,美国内科医师学会建议可将床旁超声检查添加到标准诊断流程中。
Ann Intern Med. 2021 Sep;174(9):JC99. doi: 10.7326/ACPJ202109210-099. Epub 2021 Sep 7.
2
Appropriate Use of Point-of-Care Ultrasonography in Patients With Acute Dyspnea in Emergency Department or Inpatient Settings: A Clinical Guideline From the American College of Physicians.**中文译文**:《美国医师学会:在急诊或住院环境中急性呼吸困难患者即时超声的合理应用:临床指南》。
Ann Intern Med. 2021 Jul;174(7):985-993. doi: 10.7326/M20-7844. Epub 2021 Apr 27.
3
ACP provided 2 conditional recommendations on use of high-flow nasal oxygen in acute respiratory failure.ACP 就急性呼吸衰竭中使用高流量鼻氧提供了 2 条有条件的推荐意见。
Ann Intern Med. 2021 Sep;174(9):JC98. doi: 10.7326/ACPJ202109210-098. Epub 2021 Sep 7.
4
Point-of-Care Ultrasonography in Patients With Acute Dyspnea: An Evidence Report for a Clinical Practice Guideline by the American College of Physicians.即时床旁超声在急性呼吸困难患者中的应用:美国医师学院临床实践指南的证据报告。
Ann Intern Med. 2021 Jul;174(7):967-976. doi: 10.7326/M20-5504. Epub 2021 Apr 27.
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Undifferentiated Dyspnea with Point-of-Care Ultrasound, Primary Emergency Physician Compared with a Dedicated Emergency Department Ultrasound Team.床旁超声检查诊断未分化性呼吸困难:初级急诊科医师与专业急诊科超声团队的比较
J Emerg Med. 2021 Sep;61(3):278-292. doi: 10.1016/j.jemermed.2021.03.003. Epub 2021 Aug 2.
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Diagnostic Accuracy of Lung Point-Of-Care Ultrasonography for Acute Heart Failure Compared With Chest X-Ray Study Among Dyspneic Older Patients in the Emergency Department.肺部即时超声检查在急诊科呼吸困难老年患者中对急性心力衰竭的诊断准确性与胸部 X 线研究比较。
J Emerg Med. 2021 Aug;61(2):161-168. doi: 10.1016/j.jemermed.2021.02.019. Epub 2021 Mar 29.
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Integrating point-of-care ultrasound in the ED evaluation of patients presenting with chest pain and shortness of breath.将即时床旁超声整合到急诊科胸痛和呼吸急促患者的评估中。
Am J Emerg Med. 2019 Feb;37(2):298-303. doi: 10.1016/j.ajem.2018.10.059. Epub 2018 Oct 30.
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Point-of-Care Ultrasonography for Evaluation of Acute Dyspnea in the ED.急诊科即时超声心动图用于评估急性呼吸困难
Chest. 2017 Jun;151(6):1295-1301. doi: 10.1016/j.chest.2017.02.003. Epub 2017 Feb 16.
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Point-of-Care Multi-Organ Ultrasound Improves Diagnostic Accuracy in Adults Presenting to the Emergency Department with Acute Dyspnea.床旁多器官超声检查可提高急性呼吸困难成人患者到急诊科就诊时的诊断准确性。
West J Emerg Med. 2016 Jan;17(1):46-53. doi: 10.5811/westjem.2015.11.28525. Epub 2016 Jan 12.
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Point-of-care ultrasonography for the diagnosis of acute cardiogenic pulmonary edema in patients presenting with acute dyspnea: a systematic review and meta-analysis.即时床旁超声在以急性呼吸困难就诊的急性心源性肺水肿患者中的诊断价值:系统评价和 meta 分析。
Acad Emerg Med. 2014 Aug;21(8):843-52. doi: 10.1111/acem.12435.

引用本文的文献

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A Quality Improvement Approach to Modification of a Point-of-Care Ultrasound Curriculum.一种改进床旁超声课程的质量改进方法。
ATS Sch. 2023 Aug 8;4(4):538-545. doi: 10.34197/ats-scholar.2023-0018IN. eCollection 2023 Dec.
2
Usefulness of Multi-Organ Point-of-Care Ultrasound as a Complement to the Decision-Making Process in Internal Medicine.多器官床旁超声在内科决策过程中的辅助作用
J Clin Med. 2022 Apr 18;11(8):2256. doi: 10.3390/jcm11082256.