第06章 B超诊断气胸.pptVIP

PowerPointDesign Template add your subheading 完全正常肺的胸膜滑移征 气胸Ｂ超基础 4大征象： 胸膜滑移征消失 B线消失 肺搏动消失 肺点 M-mode帮助判断滑移征 M-mode帮助判断滑移征 M-mode帮助判断滑移征 能量滑移征 气胸患者能量滑移征消失 B-line B-line B-line也称为彗尾征。 从胸膜线开始出现一直延伸到屏幕下方且亮度不消退的一条或多条亮线。 B-line的出现使得A-line消失不可见。 B-line的产生意味着可以100%排除气胸 胸膜滑移征消失 apnea, pharmacologic paralysis, massive atelectasis, consolidation, mainstem intubation. 肺搏动 Absent lung sliding and the presence of the lung pulse include: apnea, pharmacologic paralysis, massive atelectasis, consolidation, and mainstem intubation. lung pulse may help diagnosis pneumothorax under such conditions 肺搏动 肺点 气胸诊断流程 刘**，19岁，车祸外伤 车祸伤后半小时，诉右肩痛 肩部平片未见异常 夜间患者诉胸闷不适 病例一 顾** 男性，58岁 突发呼吸困难一小时，有濒死感 一周前外院诊断左侧气胸，左侧胸腔闭式引流术后 PE：SaO2 90%， RR 35bpm, 双侧呼吸音消失，端坐呼吸无法平卧，无法行CT检查 气胸？ B超诊断气胸优于床旁X片 Bedside radiography has a notoriously inconsistent accuracy in detecting pneumothorax, regardless of the cause, with sensitivities ranging between 50% and 90%. Bedside ultrasound can detect pneumothorax with the sensitivity similar to a CT scan. Click to edit headline Click to edit headline Click to edit headline Click to edit headline Click to edit headline Click to edit headline How can you change picture? On the Drawing toolbar, click the arrow next to Fill Color Click Fill Effects, and then click the Picture tab. Select the picture you want. Click to edit headline Click to edit headline Conclusion 1 Conclusion 2 Click to edit your subject 1 Click to edit your subject 1 Click to edit your subject 1 Click to edit your subject 2 Click to edit your subject 2 Click to edit your subject 2 Conclusion 1 Click to edit your text Click to edit your text Click to edit your text Example 01 Example 02 Example 03 Example 04 subject Click to edit text Click to edit text Click to edit text classification item Click to edit text Click to edit text Click to edit text Click to edit text Click to edit text Click to edit text Click to edit text Click to edit text Click to edit text