胸部体格检查与超声结合阶段（CHEPHEUS1）。胸科超声学会（AdET）的一项调查。
CHEst PHysical Examination integrated with UltraSound - Phase (CHEPHEUS1). A survey of Accademia di Ecografia Toracica (AdET).
作者信息
Radovanovic Dejan, Zanforlin Alessandro, Smargiassi Andrea, Cinquini Sara, Inchingolo Riccardo, Tursi Francesco, Soldati Gino, Carlucci Paolo
机构信息
Division of Respiratory Diseases, Department of Biomedical and Clinical Sciences, Università degli Studi di Milano, Luigi Sacco University Hospital, ASST Fatebenefratelli-Sacco, Milano, Italy; Coordinated Research Center on Respiratory Failure, Università degli Studi di Milano, 20122 Milano, Italy.
Service of Pulmonology, Health District of Bolzano (SABES-ASDAA), Bolzano-Bozen, Italy, Lehrkrankenhaus der Paracelsus Medizinischen Privatuniversität.
出版信息
Multidiscip Respir Med. 2025 May 15;20(1):1020. doi: 10.5826/mrm.2025.1020.
BACKGROUND
Chest physical exam (CPE) is based on the four pillars of classical semiotics. However, CPE's sensitivity and specificity are low, and is affected by operators' skills. The aim of this work was to explore the contribution of chest ultrasound (US) to the traditional CPE.
METHODS
For this purpose, a survey was submitted to US users. They were asked to rate the usefulness of classical semiotics and chest US in evaluating each item of CPE pillars. The study was conducted and described according to the STROBE checklist. The study used the freely available online survey cloud-web application (Google Forms, Google Ireland Ltd, Mountain View, CA, USA).
RESULTS
The results showed a tendency to prefer chest US to palpation and percussion, suggesting a possible -future approach based on inspection, auscultation and palpatory ultrasound evaluation.
CONCLUSION
The results of our survey introduce, for the first time, the role of ultrasound as a pillar of physical examination. Our project CHEPHEUS has the aim to study and propose a new way of performing the physical exam in the future.
背景
胸部体格检查（CPE）基于经典符号学的四大支柱。然而，CPE的敏感性和特异性较低，且受操作者技能影响。本研究的目的是探讨胸部超声（US）对传统CPE的贡献。
方法
为此，向超声使用者发放了一份调查问卷。要求他们对经典符号学和胸部超声在评估CPE支柱各项目中的有用性进行评分。该研究按照STROBE清单进行设计和描述。研究使用了免费的在线调查云网络应用程序（谷歌表单，谷歌爱尔兰有限公司，美国加利福尼亚州山景城）。
结果
结果显示，相较于触诊和叩诊，更倾向于使用胸部超声，这表明未来可能采用基于视诊、听诊和触诊超声评估的方法。
结论
我们的调查结果首次引入了超声作为体格检查支柱的作用。我们的项目CHEPHEUS旨在研究并提出未来进行体格检查的新方法。
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