Nrog rau kev txhim kho cov tshuaj thaum muaj xwm txheej ceev thiab nrov ntawm kev siv tshuab ultrasound, point-of-care ultrasound tau dav siv hauv cov tshuaj thaum muaj xwm ceev.Nws yog qhov yooj yim rau kev kuaj mob sai, ntsuas tam sim thiab kho cov neeg mob xwm txheej ceev, thiab tau siv rau kev kub ntxhov, hnyav, kev raug mob, vascular, obstetrics, tshuaj loog thiab lwm yam tshwj xeeb.
Daim ntawv thov ntawm poc ultrasound nyob rau hauv kev kuaj mob thiab kev soj ntsuam ntawm tus kab mob no tau tshwm sim heev nyob rau hauv txawv teb chaws chaw kho mob xwm txheej ceev.American College of Emergency Physicians xav kom cov kws kho mob paub txog kev siv tshuab ultrasound thaum muaj xwm ceev.Cov kws kho mob xwm txheej ceev hauv Tebchaws Europe thiab Nyij Pooj tau siv poc ultrasound los pab kuaj thiab kho.Tam sim no, kev siv poc ultrasound los ntawm cov kws kho mob xwm txheej ceev hauv Suav teb yog qhov tsis sib xws, thiab qee lub chaw kho mob xwm txheej ceev ntawm tsev kho mob tau pib cob qhia thiab txhawb kev siv poc ultrasound, thaum feem ntau ntawm cov chaw kho mob xwm txheej ceev ntawm tsev kho mob tseem tsis muaj nyob hauv qhov kev hwm no.
Emergency ultrasound yog ib qho kev txwv ntawm daim ntawv thov tshuaj ultrasound, kuj yooj yim, haum rau txhua tus kws kho mob xwm txheej ceev siv.Xws li: kev kuaj mob, mob plab aortic aneurysm, vascular nkag mus thiab lwm yam.
Daim ntawv thov ntawmpocultrasound hauv chav kho mob xwm txheej ceev
1. Kev ntsuas kev raug mob
Cov kws kho mob xwm txheej ceev siv poc ultrasound txhawm rau txheeb xyuas cov kua dej dawb thaum kuaj thawj zaug ntawm cov neeg mob hauv siab lossis mob plab.Kev ntsuas nrawm nrawm ntawm Trauma, siv ultrasound los ntes intraperitonal los ntshav.Cov txheej txheem ceev ceev ntawm kev kuaj mob tau dhau los ua cov txheej txheem nyiam rau kev ntsuas kub ntxhov ntawm kev mob plab, thiab yog tias qhov kev kuaj thawj zaug tsis zoo, qhov kev ntsuam xyuas tuaj yeem rov ua dua raws li kev kho mob tsim nyog.Qhov kev kuaj pom zoo rau hemorrhagic shock qhia tau hais tias lub plab los ntshav uas yuav tsum tau phais.Kev soj ntsuam ultrasound tsom rau ntawm kev raug mob ntev yog siv rau cov neeg mob uas muaj mob hauv siab los tshuaj xyuas cov ntu subcostal suav nrog lub plawv thiab sab hauv sab hauv ntawm lub hauv siab.
2.Lub hom phiaj qhia echocardiography thiab kev ntsuas kev poob siab
Kev ntsuam xyuas plawv nrog poc ultrasound siv lub hom phiaj-oriented echocardiography, tsawg tus qauv echocardiographic views, los pab txhawb cov kws kho mob thaum muaj xwm txheej ceev kev ntsuam xyuas ntawm cov qauv plawv thiab kev ua haujlwm hauv cov neeg mob uas muaj cov kab mob hemodynamic.Lub tsib tus qauv pom ntawm lub plawv suav nrog parasternal ntev axis, parasternal luv axis, apical plaub chav, subxiphoid plaub chav, thiab inferior vena cava views.Ultrasound tsom xam ntawm mitral thiab aortic li qub kuj tseem tuaj yeem suav nrog hauv kev tshuaj xyuas, uas tuaj yeem txheeb xyuas qhov ua rau tus neeg mob lub neej sai, xws li valve tsis ua haujlwm, sab laug ventricular tsis ua haujlwm, thiab kev cuam tshuam ntxov ntawm cov kab mob no tuaj yeem cawm tus neeg mob txoj sia.
3. Pulmonary ultrasound
Pulmonary ultrasound tso cai rau cov kws kho mob thaum muaj xwm txheej ceev los ntsuas qhov ua rau mob dyspnea hauv cov neeg mob thiab txiav txim siab seb puas muaj pneumothorax, pulmonary edema, pneumonia, pulmonary interstitial disease, lossis pleural effusion.Pulmonary ultrasound ua ke nrog GDE tuaj yeem ntsuas qhov ua rau thiab mob hnyav.Rau cov neeg mob hnyav nrog dyspnea, pulmonary ultrasound muaj cov txiaj ntsig zoo sib xws rau hauv lub hauv siab dawb scan CT thiab zoo dua rau hauv lub hauv siab X-ray.
4.Cardiopulmonary resuscitation
Kev ua pa ntawm lub plawv nres yog ib yam kab mob hnyav heev.Tus yuam sij rau kev cawm tau zoo yog lub sijhawm thiab muaj txiaj ntsig cardiopulmonary resuscitation.Poc ultrasound tuaj yeem nthuav tawm cov laj thawj ua rau rov qab los ntawm lub plawv nres, xws li loj heev pericardial effusion nrog pericardial tamponade, txoj cai ventricular dilation nrog loj pulmonary embolism, hypovolemia, nro pneumothorax, plawv tamponade, thiab loj heev myocardial infarction, thiab muab sij hawm rau kev kho ntxov ntawm cov no. ua rau.Lub poc ultrasound tuaj yeem txheeb xyuas cov kev ua haujlwm ntawm lub plawv tsis muaj lub plawv dhia, paub qhov txawv ntawm qhov tseeb thiab tsis tseeb raug ntes, thiab saib xyuas tag nrho cov txheej txheem thaum CPR.Tsis tas li ntawd, lub poc ultrasound yog siv rau kev soj ntsuam ntawm txoj hlab ntsws los pab kom paub meej tias qhov chaw ntawm lub tracheal intubation thiab xyuas kom muaj cua txaus hauv ob lub ntsws.Nyob rau theem tom qab resuscitation, ultrasound tuaj yeem siv los ntsuas cov ntshav ntim cov xwm txheej thiab qhov muaj thiab qhov hnyav ntawm myocardial dysfunction tom qab resuscitation.Kev kho kua dej tsim nyog, kev cuam tshuam kev kho mob lossis kev txhawb nqa tshuab yuav raug siv raws li.
5.Ultrasound coj puncture kho
Kev kuaj ultrasonic tuaj yeem ua kom pom tseeb ntawm cov ntaub so ntswg sib sib zog nqus ntawm tib neeg lub cev, nrhiav qhov chaw raug mob thiab saib xyuas qhov kev hloov pauv ntawm cov kab mob hauv lub sijhawm tiag tiag kom tsis txhob muaj teeb meem loj, yog li ultrasound coj puncture tshuab tau los ua.Tam sim no, ultrasound-guided puncture technology tau dav siv nyob rau hauv kev kho mob xyaum thiab tau dhau los ua ib tug kev ruaj ntseg lav rau ntau yam kev kho mob invasive ua hauj lwm.Poc ultrasound txhim kho qhov ua tau zoo ntawm ntau cov txheej txheem ua los ntawm cov kws kho mob xwm txheej ceev thiab txo qhov tshwm sim ntawm cov teeb meem, xws li thoracopuncture, pericardiocentesis, tshuaj loog hauv cheeb tsam, lumbar puncture, central venous catheter insertion, nyuaj peripheral artery thiab venous catheter insertion, incision ntawm daim tawv nqaij. abscesses, sib koom puncture, thiab tswj txoj hlab cua.
Txuas ntxiv txhawb kev txhim kho kev kub ntxhovpocultrasound hauv Suav teb
Daim ntawv thov ntawm poc ultrasound nyob rau hauv Tuam Tshoj lub chaw kho mob xwm txheej ceev muaj lub hauv paus ua ntej, tab sis nws tseem yuav tsum tau tsim thiab nrov.Txhawm rau txhawm rau txhawm rau txhim kho qhov xwm txheej ceev poc ultrasound, nws yog ib qho tsim nyog yuav tsum txhim kho kev paub txog cov kws kho mob xwm txheej ceev ntawm poc ultrasound, kawm los ntawm cov kev qhia paub thiab kev tswj xyuas txawv teb chaws, thiab ntxiv dag zog thiab ua qauv kev cob qhia ntawm kev siv tshuab thaum muaj xwm ceev ultrasound.Kev cob qhia hauv cov txheej txheem ultrasound thaum muaj xwm txheej ceev yuav tsum pib nrog kev cob qhia neeg nyob hauv xwm txheej ceev.Txhawb kom lub tuam tsev kho mob xwm txheej ceev los teeb tsa ib pab pawg kws kho mob thaum muaj xwm txheej ceev poc ultrasound thiab koom tes nrog lub chaw kuaj xyuas ultrasound txhawm rau txhim kho lub tuam tsev muaj peev xwm siv ultrasound.Nrog rau cov kws kho mob xwm txheej ceev uas tau kawm thiab paub txog kev siv tshuab ntawm poc ultrasound, nws yuav ntxiv dag zog rau kev txhim kho ntawm poc ultrasound thaum muaj xwm ceev hauv Suav teb.
Nyob rau hauv lub neej yav tom ntej, nrog kev hloov kho tas li ntawm cov cuab yeej siv ultrasound thiab kev txhim kho txuas ntxiv ntawm AI thiab AR thev naus laus zis, ultrasound nruab nrog huab sib koom siv thiab muaj peev xwm telemedicine yuav pab cov kws kho mob xwm txheej ceev ua tau zoo dua.Nyob rau tib lub sijhawm, nws yog ib qho tsim nyog los tsim kom muaj qhov tsim nyog thaum muaj xwm txheej ceev poc ultrasound kev cob qhia thiab cov ntawv pov thawj muaj feem cuam tshuam raws li Tuam Tshoj cov xwm txheej hauv tebchaws.
Post lub sij hawm: Dec-15-2023
