Daim ntawv thov ntawm portable ultrasound thaum muaj xwm txheej ceev

Daim ntawv thov ntawm portable ultrasound thaum muaj xwm txheej ceev

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.

Daim ntawv thov txheej txheem ntawm txaj txaj ultrasound hauv tsev thiab txawv teb chaws

1. Muaj ntau thiab ntau qhov kev cob qhia ultrasound hauv ntiaj teb.Tam sim no, ib qho kev qhia yooj yim thiab tsim nyog tau tsim, thiab World Intensive Ultrasound Alliance (WINFOCUS) tau tsim.
2. American College of Emergency Physicians xav kom cov kws kho mob xwm txheej ceev yuav tsum paub txog kev siv tshuab ultrasound thaum muaj xwm ceev, thiab 95% ntawm qib 1 cov chaw kho mob hauv Tebchaws Meskas (190) ua ultrasound thaum muaj xwm ceev.
3. Cov kws kho mob xwm txheej ceev hauv Tebchaws Europe thiab Nyij Pooj tau dav siv ultrasound los pab cov neeg mob hauv kev kuaj mob thiab kev kho mob.
4. Suav teb pib lig, tab sis kev vam meej yog ceev.

Daim ntawv thov ntawm portable ultrasound nyob rau hauv trauma thawj pab thiab mob plab

01 Kev soj ntsuam thawj zaug
Kev tshuaj ntsuam rau txoj kev ua pa phem, ua pa thiab ncig.- Kev pab thawj zaug, xwm txheej ceev

02 Kev soj ntsuam thib ob
Txheeb xyuas qhov kev raug mob pom tseeb hauv txhua qhov ntawm lub cev - xwm txheej ceev, ICU, pawg ntseeg

03 Triple check
Kev tshuaj xyuas zoo kom tsis txhob muaj kev puas tsuaj -ICU, pawg ntseeg

Ua kom pom tseeb Ultrasound Assessment of Trauma (FAST):Rau lub ntsiab lus (subxiphoid, sab laug epigastric, txoj cai epigastric, sab laug raum cheeb tsam, sab raum sab xis, pelvic kab noj hniav) raug xaiv rau kev txheeb xyuas ceev ceev ntawm kev raug mob tuag taus.

1. 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 ua ntej ntawm pleural los ntshav, thiab txiav txim siab qhov chaw los ntshav thiab ntau npaum li cas (pericardial effusion, pleural effusion, plab effusion, pneumothorax, thiab lwm yam).
2.Kev raug mob: daim siab, tus po, mob pancreas
3. Tej yam uas tsis muaj mob: mob plab hnyuv, mob cholecystitis, gallstones thiab lwm yam
4. Feem ntau gynecology: ectopic cev xeeb tub, placenta previa, cev xeeb tub raug mob, thiab lwm yam
5. Pediatric raug mob
6. Tsis piav qhia hypotension thiab lwm yam yuav tsum tau kuaj FASA

Adaim ntawv thov ntawm portable ultrasound hauvmob plawv

Kev soj ntsuam nrawm thiab ua tau zoo ntawm tag nrho qhov loj thiab kev ua haujlwm ntawm lub plawv, qhov loj ntawm ib tus neeg chav tsev ntawm lub plawv, myocardial xwm txheej, muaj los yog tsis muaj regurgitation, valve muaj nuj nqi, ejection fraction, ntshav ntim raws li txoj cai ntsuam xyuas, lub plawv twj tso kua mis kev soj ntsuam, ceev ceev. Kev tshawb nrhiav ntawm cov ua rau hypotension, sab laug thiab sab xis ventricular systolic / diastolic muaj nuj nqi, coj kev kho kua dej, ntim resuscitation, coj kev soj ntsuam cardiopulmonary, Trauma cov neeg mob tsis muaj lub plawv rupture thiab ceev ceev kev kho mob ntawm pericardial effusion thiab ntshav, thiab lwm yam.

1. Pericardial effusion: Kev txheeb xyuas ceev ceev ntawm pericardial effusion, pericardial tamponade, ultrasound-guided pericardial puncture
2. Pulmonary embolism loj heev: Echocardiography tuaj yeem pab tswj cov mob uas muaj cov tsos mob zoo ib yam li pulmonary embolism, xws li plawv tamponade, pneumothorax, thiab myocardial infarction.
3. 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 ceev ntawm sab laug loj axis, sab laug me axis, apical plaub-chamber plawv, thiab sab laug ventricular ejection feem.
4. Aortic dissection: Echocardiography tuaj yeem kuaj xyuas qhov chaw ntawm qhov kev txiav, nrog rau qhov chaw ntawm kev koom tes.
5. Myocardial ischemia: Echocardiography tuaj yeem siv los tshuaj xyuas lub plawv kom txawv txav ntawm phab ntsa.
6. Cov kab mob hauv plawv: Echocardiography tuaj yeem kuaj pom qhov txawv txav ntawm lub valve thiab cov kev hloov pauv hauv cov ntshav ntws spectrum.

Kev siv portable ultrasound hauv ntsws

1. Siv los ntsuas qhov hnyav ntawm qhov mob ntsws thaum ntxov-nrab nruab nrab, cov flaks me me ntawm pulmonary hydrosis tshwm hauv lub ntsws
2. Ob lub ntsws diffuse fusion kab B, qhia "dawb lub ntsws" kos npe, mob ntsws loj
3. Qhia qhov chaw ntawm lub tshuab ua pa thiab saib xyuas qhov mob ntawm lub ntsws reexpansion
4. Rau kev kuaj mob pneumothorax: stratospheric kos npe, lub ntsws taw tes thiab lwm yam cim qhia tias muaj peev xwm muaj pneumothorax.

Daim ntawv thov ntawm portable ultrasound hauv cov leeg leeg

1. Ultrasound tuaj yeem soj ntsuam seb cov leeg puas torn thiab qhov tsim kua muag
2. 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.
3. Ntsuam xyuas kev koom tes hauv kev mob caj dab ntev
4. Ua kom raug cov leeg thiab bursae aspiration thiab cov ntaub so ntswg mos

Daim ntawv thov ntawm portable ultrasound hauv kev taw qhia kho mob

1. Ultrasound-guided central vein catheterization (internal jugular leeg, subclavian leeg, femoral leeg)
2. Ultrasound coj PICC puncture
3. Ultrasound-guided catheterization ntawm cov hlab ntsha invasive
4. Ultrasound coj thoracic puncture kua, ultrasound coj plab puncture kua
5. Ultrasound-guided pericardial effusion puncture
6. Ultrasound-guided percutaneous hepatogallbladder puncture

Nws tuaj yeem pom tau tias cov khoom siv kho mob Doppler ultrasound kuaj pom muaj ntau yam kev siv hauv cov xwm txheej hnyav, muab lub hauv paus txhim khu kev qha rau kev kuaj mob ntxiv thiab kev kho mob, thiab paub tias cov neeg mob tseem ceeb tuaj yeem ua tiav qhov kev kuaj mob plawv ultrasound ntawm lub txaj tsis tau tawm hauv qhov chaw kho mob. pawg saib xyuas, zoo heev txhim kho kev kuaj mob thiab kev kho mob ntawm cov neeg mob hnyav.