超声chest echo-超音波用於胸腔急症课件.pptVIP

Disadvantages of Chest Sonography Ultrasonic wave is easily hindered by air Poor visualization of the Mediastinum, hilum and airway Restricted field of view Operator dependence Wiener MD. Imaging of the intensive care unit patients Clin Chest Med 1991;12;169-198 Value of Sonography in the Diagnosis of Critically Ill Patients Categories No. of patients (n=41) Assisting diagnosis 27 (66%) Made diagnosis 12 Changed diagnosis 8 Provided additional 7 information No benefit 14 (34%) (Yu et al AJR 1992) Influence of Sonography on the Managementof Critically Ill Patients Categories No. of patient (n=41) Helped management 37 (90%) Affected decision 8 Affected decision and guided thoracemtesis 10 Affected decision and guided aspiration 7 Guided thoracentesis only 12 No benefit 4 (10%) (Yu et al AJR 1992) Diagnostic Contribution of Chest Sonography Changed the diagnosis provided additional diagnostic information didn’t not provided any additional diagnostic information Ann Yuan, J Clin Ultrasound Vol 29, No. 2, Feb. 2001;78-85 Impact of Chest Sonography on Patient Management New information that contributed new management Guidance for invasive diagnostic or therapeutic procedures No benefit Ann Yuan, J Clin Ultrasound Vol 29, No. 2, Feb. 2001;78-85 Conclusion Real-