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主动脉床旁超声在常规及紧急超声心动图中的应用。

Use of aortic point-of-care ultrasound in conventional and emergent echocardiography.

机构信息

Miyuki Hospital LTAC Heart Failure Center, 6-7-40 Miyukifueda, Minamiku, Kumamoto, 861-4172, Japan.

出版信息

J Med Ultrason (2001). 2022 Oct;49(4):655-661. doi: 10.1007/s10396-021-01151-w. Epub 2021 Nov 12.

DOI:10.1007/s10396-021-01151-w
PMID:34767103
Abstract

Aortic aneurysms expand asymptomatically and rupture lethally. Acute aortic dissection is also a highly lethal cardiovascular emergency and requires prompt recognition. Although cardiovascular ultrasonography has a suboptimal accuracy rate for detecting aortic dissection, it is noninvasive, readily available, and easy to use. Recently, the concept of point-of-care ultrasound (POCUS) refers to the use of portable and/or implemented ultrasound at the patient's bedside for diagnostic and therapeutic purposes. Aortic POCUS could become an important tool for aortic aneurysm screening and primary diagnosis of acute aortic dissection.

摘要

主动脉瘤在无症状的情况下扩张,并可能致命地破裂。急性主动脉夹层也是一种高度致命的心血管急症,需要迅速识别。虽然心血管超声对检测主动脉夹层的准确率不高,但它具有无创、易于获得和使用方便的特点。最近,即时护理超声(POCUS)的概念是指在患者床边使用便携式和/或实施的超声进行诊断和治疗目的。主动脉 POCUS 可能成为主动脉瘤筛查和急性主动脉夹层初步诊断的重要工具。

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本文引用的文献

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Recommendations for Echocardiography Laboratories Participating in Cardiac Point of Care Cardiac Ultrasound (POCUS) and Critical Care Echocardiography Training: Report from the American Society of Echocardiography.美国超声心动图学会关于参与心脏床旁心脏超声(POCUS)和重症超声心动图培训的超声心动图实验室的建议报告。
J Am Soc Echocardiogr. 2020 Apr;33(4):409-422.e4. doi: 10.1016/j.echo.2020.01.008. Epub 2020 Feb 29.
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Focused Cardiac Ultrasonography.聚焦式心脏超声检查。
JACC Cardiovasc Imaging. 2019 Jul;12(7 Pt 1):1243-1253. doi: 10.1016/j.jcmg.2018.12.036.
3
Integration of transthoracic focused cardiac ultrasound in the diagnostic algorithm for suspected acute aortic syndromes.
经胸聚焦心脏超声在疑似急性主动脉综合征诊断算法中的整合。
Eur Heart J. 2019 Jun 21;40(24):1952-1960. doi: 10.1093/eurheartj/ehz207.
4
The current role of echocardiography in acute aortic syndrome.超声心动图在急性主动脉综合征中的当前作用。
Echo Res Pract. 2019 Jun 1;6(2):R53-R63. doi: 10.1530/ERP-18-0058.
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Update on Cardiovascular Echo in Aortic Aneurysm and Dissection.主动脉瘤和主动脉夹层心血管超声检查的最新进展
Ann Vasc Dis. 2018 Dec 25;11(4):437-442. doi: 10.3400/avd.ra.18-00112.
6
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J Echocardiogr. 2010 Dec;8(4):150-1. doi: 10.1007/s12574-010-0041-1. Epub 2010 May 8.
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Echo findings in aortic dissection and car company symbols.主动脉夹层的超声心动图表现与汽车公司标志。
J Echocardiogr. 2009 Dec;7(4):85. doi: 10.1007/s12574-009-0017-1. Epub 2009 Aug 18.
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