Clinical daim ntawv thov ntawm thaum muaj xwm ceev ultrasound
Nrog rau kev txhim kho txuas ntxiv ntawm zej zog, kev kuaj mob ultrasound tau dhau los ua ib qho kev kuaj xyuas tsis tseem ceeb rau kev kuaj mob.Hauv kev kho mob thaum muaj xwm txheej ceev, kev kuaj xyuas ultrasound portable muaj ntau yam, muaj tseeb, kev soj ntsuam ceev ceev, tsis muaj kev raug mob thiab tsis muaj contraindications.Kev soj ntsuam rov qab tuaj yeem soj ntsuam cov neeg mob sai sai hauv txhua qhov xwm txheej, yeej lub sijhawm cawm neeg muaj txiaj ntsig rau cov neeg mob uas raug mob hnyav, thiab ua rau qhov tsis txaus ntawm X-rays.Kev sib koom ua ke nrog kev kuaj X-ray;Qhov txiaj ntsig loj tshaj plaws yog cov neeg mob xwm txheej ceev uas tsis ruaj khov los yog leej twg yuav tsum tsis txhob txav mus los tuaj yeem kuaj xyuas txhua lub sijhawm thiab nyob qhov twg, thiab tsis muaj qhov xwm txheej txwv, uas yog thawj txoj kev kuaj mob rau cov neeg mob hnyav.
1.Application ntawm portable ultrasound nyob rau hauv trauma thawj pab thiab mob plab
Ua kom pom tseeb Ultrasound Kev soj ntsuam ntawm kev raug mob (FAST): Rau lub ntsiab lus (subxiphoid, sab laug epigastric, txoj cai epigastric, sab laug raum thaj tsam, sab xis raum thaj tsam, pelvic kab noj hniav) raug xaiv rau kev txheeb xyuas ceev ceev ntawm kev raug mob tuag taus.
01 Kev kuaj xyuas qhov mob hnyav lossis mob hnyav hauv lub cev thiab cov kua dej dawb hauv lub plab: Kev kuaj FAST yog siv rau kev kuaj pom thawj zaug ntawm pleural hemorrhage, thiab txiav txim siab qhov chaw los ntshav thiab ntau npaum li cas (pericardial effusion, pleural effusion, peritoneal efhorax, pneumotitis). , thiab lwm yam).
02 Kev raug mob ntau: daim siab, tus po, mob pancreas.
03 Feem ntau tsis muaj mob: mob plab hnyuv, mob cholecystitis, gallstones thiab lwm yam.
04 Feem ntau gynecology: cev xeeb tub ectopic, placenta previa, cev xeeb tub raug mob, thiab lwm yam.
05 Pediatric trauma.
06 Tsis tau piav qhia hypotension thiab lwm yam yuav tsum tau kuaj FASA.
2.Qhov daim ntawv thov ntawm portable ultrasound hauv plawv
Echocardiography yog tus qauv kub hauv kev kuaj mob ntawm ntau lub plawv thiab pericardial kab mob.
01 Pericardial effusion: Kev txheeb xyuas ceev ceev ntawm pericardial effusion, pericardial tamponade, ultrasound-guided pericardial puncture.
02 Loj pulmonary embolism: Echocardiography tuaj yeem pab tswj cov mob uas muaj cov tsos mob zoo li pulmonary embolism, xws li plawv tamponade, pneumothorax, thiab myocardial infarction.
03 Kev soj ntsuam ntawm sab laug ventricular muaj nuj nqi: Sab laug ventricular systolic muaj nuj nqi raug soj ntsuam los ntawm kev soj ntsuam sai ntawm sab laug loj axis, sab laug me axis, apical plaub-chamber plawv, thiab sab laug ventricular ejection feem.
04 Aortic dissection: Echocardiography tuaj yeem txheeb xyuas qhov chaw ntawm qhov kev txiav, nrog rau qhov chaw ntawm kev koom tes.
05 Myocardial ischemia: Echocardiography tuaj yeem siv los tshuaj xyuas lub plawv kom txawv txav ntawm phab ntsa.
06 Valvular kab mob hauv lub plawv: Echocardiography tuaj yeem kuaj pom qhov txawv txav ntawm lub valve echoes thiab kev hloov pauv ntawm cov ntshav ntws spectrum.
3.Application ntawm portable ultrasound nyob rau hauv lub ntsws thiab diaphragm
01 Siv los ntsuas qhov hnyav ntawm qhov mob ntsws thaum ntxov-nrab nruab nrab, cov pob me me ntawm pulmonary hydrophilia tshwm hauv lub ntsws - Kab B kos npe.
02 Siv rau hauv kev kuaj mob ntawm cov neeg mob ntsws loj, ob lub ntsws diffuse fusion B-kab, qhia "lub ntsws dawb" kos npe, mob hnyav tshwm sim hauv lub ntsws.
03 Rau kev kuaj mob ntawm pleural effusion, ultrasound coj puncture kua ntawm pleural effusion.
04 Rau kev kuaj mob pneumothorax: stratospheric kos npe, lub ntsws taw tes thiab lwm yam cim qhia tias muaj peev xwm ntawm pneumothorax.
05 Qhia kev teeb tsa lub tshuab ua pa thiab saib xyuas qhov xwm txheej ntawm lub ntsws rov nthuav dav.
06 Rau daim ntawv thov diaphragmatic ultrasound, coj off-line, sib txawv nruab nrab thiab peripheral ua pa tsis ua hauj lwm.
4.Application ntawm portable ultrasound nyob rau hauv cov leeg nqaij leeg
01 Ultrasound tuaj yeem ntsuam xyuas seb cov leeg puas torn thiab qhov tsim kua muag.
02 Rau cov neeg mob uas mob thiab o ntawm txhais tes thiab ko taw, ultrasound tuaj yeem kuaj tau sai thiab ntseeg tau tias tenosynovitis, uas pab txhim kho kev saib xyuas zoo thiab xaiv cov kev kho mob uas tsim nyog.
03 Txheeb xyuas kev sib koom tes hauv kev mob caj dab ntev.
04 Muab cov leeg thiab bursae aspiration thiab cov ntaub so ntswg mos.
5.Application ntawm portable ultrasound nyob rau hauv kev kho mob kev taw qhia
01 Vascular puncture: visualization ntawm tob vein catheterization, arterial puncture, thiab lwm yam.
02 Qhia qhov chaw ntawm lub qhov ncauj qhov ntswg.
03 Txoj kev qhia trachea intubation.
04 Joint puncture, paj hlwb, thiab lwm yam.
05 Qhia pericardial kab noj hniav, kab noj hniav thoracic, plab kab noj hniav, thiab lwm yam.
06 Cyst, abscess puncture qhia, thiab lwm yam.
Nws tuaj yeem pom tias daim ntawv thov ntau yam ntawm cov xim portable Doppler ultrasound diagnostic instrument yog dav heev, thiab kev soj ntsuam ntau yog dav, siab raug, ceev soj ntsuam, tsis raug mob, tsis muaj contraindications, rov kuaj dua;Portable xim Doppler kev kuaj mob muaj cov txiaj ntsig tseem ceeb hauv qab no:
Me me thiab nqa tau yooj yim, nws tuaj yeem nqa ncaj qha los ntawm tes, uas yog qhov zoo rau cov neeg ua haujlwm kho mob kom ceev ceev nqa ultrasound mus rau qhov chaw kho mob.
Kev soj ntsuam nrawm nrawm, tuaj yeem rov ua dua, tsis muaj kev raug mob, tsis muaj contraindications.
Hloov mus rau ntau qhov chaw ua haujlwm, suav nrog lub txaj pw, ICU, xwm txheej ceev, mus ntsib, thiab lwm yam.
Cov duab zoo heev thiab kev txhawb nqa rau lub plab, sab nraud thiab lub plawv sojntsuam nrog ntau yam kev siv los ua kom tau raws li cov kev xav tau sib txawv.
Ultrasound interventional therapy, ib qho ultrasound qhov muag nqa los ntawm tus kws kho mob.
Lub portable xim Doppler kuaj ntsuas ntsuas muab lub hauv paus txhim khu kev qha rau kev kuaj mob thiab kev kho mob ntxiv, thiab pom tau tias cov neeg mob tseem ceeb tuaj yeem ua tiav qhov kev kuaj mob plawv hauv txaj tsis tau tawm hauv ICU, uas ua rau muaj txiaj ntsig zoo rau kev kuaj mob thiab kev kho mob ntawm cov neeg mob hnyav.
Post lub sij hawm: Nov-13-2023
