临床超声在初级保健中的应用：disnea

IF 0.9 Q4 PRIMARY HEALTH CARE Medicina de Familia-SEMERGEN Pub Date : 2024-12-01 DOI:10.1016/j.semerg.2024.102386

M.D. Jiménez Cremers , I. Moreno Sánchez , J. Fidalgo López , M.E. Minguela Puras

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引用次数: 0

摘要

呼吸困难是在初级保健中经常咨询的症状，其病因广泛（呼吸、心血管、肥胖等）。每年有300万至400万次紧急咨询。大约9-13%的门诊人口报告呼吸困难，在≥70岁的成年人中高达37%。在补充检查有限的初级保健中，临床超声由直接负责病人的医生在床边进行，作为全面医疗评估和体格检查的补充，有助于对呼吸困难患者的早期诊断及其随访。在各种研究中，已经表明，在训练有素的操作员手中的肺部超声具有更高的诊断准确性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Uso de la ecografía clínica en atención primaria: disnea

Dyspnea is a symptom frequently consulted in primary care and has a wide range of etiologies (respiratory, cardiovascular, obesity, etc.). It causes 3-4 million emergency consultations per year. Approximately 9-13% of the ambulatory population reports dyspnea, getting up to 37% in adults aged ≥ 70 years.

In primary care, where complementary tests are limited, clinical ultrasound is performed at bedside by the doctor directly responsible for the patient, as a complement to a thorough medical assessment and physical examination, that facilitates the early diagnosis of patients with dyspnea as well as their follow-up.

In various studies, it has been shown that lung ultrasound in the hands of a well-trained operator has greater diagnostic accuracy.

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