肺部超声在肺炎中的有效实施指南。

IF 3.2 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL Internal and Emergency Medicine Pub Date : 2024-12-10 DOI:10.1007/s11739-024-03807-0
Bram Kok, Pieter R Tuinman, Mark E Haaksma
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引用次数: 0

摘要

在肺炎患者中,肺部超声是一种有用的诊断和监测工具,在可行性和诊断准确性方面已被证明优于体格检查和胸片。指南没有将肺超声作为诊断检查的一部分或作为监测工具,这令人惊讶。这篇文章提供了一个简明的概述,目前可获得的证据的有效性和效用的肺超声在患者的临床怀疑肺炎。除了局限性、陷阱和先进的技术外,还考虑了各种临床环境。本文的目的是为临床医生提供必要的知识,以最大限度地发挥肺部超声在肺炎中的诊断和监测工具的作用。
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Lung ultrasound in pneumonia: a guide for effective implementation.

In patients with pneumonia, lung ultrasound is a useful diagnostic and monitoring tool and has been proven to be superior to physical examination and chest X-ray in terms of feasibility and diagnostic accuracy. Guidelines do not address lung ultrasound as part of the diagnostic workup or as monitoring tool which is surprising. This article provides a succinct overview on the currently available evidence on efficacy and utility of lung ultrasound in patients with a clinical suspicion of pneumonia. Various clinical settings are considered, in addition to limitations, pitfalls and advanced techniques. The aim of this paper is to equip the clinician with the necessary knowledge to maximize lung ultrasound in pneumonia as effective diagnostic and monitoring tool.

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来源期刊
Internal and Emergency Medicine
Internal and Emergency Medicine 医学-医学:内科
CiteScore
7.20
自引率
4.30%
发文量
258
审稿时长
6-12 weeks
期刊介绍: Internal and Emergency Medicine (IEM) is an independent, international, English-language, peer-reviewed journal designed for internists and emergency physicians. IEM publishes a variety of manuscript types including Original investigations, Review articles, Letters to the Editor, Editorials and Commentaries. Occasionally IEM accepts unsolicited Reviews, Commentaries or Editorials. The journal is divided into three sections, i.e., Internal Medicine, Emergency Medicine and Clinical Evidence and Health Technology Assessment, with three separate editorial boards. In the Internal Medicine section, invited Case records and Physical examinations, devoted to underlining the role of a clinical approach in selected clinical cases, are also published. The Emergency Medicine section will include a Morbidity and Mortality Report and an Airway Forum concerning the management of difficult airway problems. As far as Critical Care is becoming an integral part of Emergency Medicine, a new sub-section will report the literature that concerns the interface not only for the care of the critical patient in the Emergency Department, but also in the Intensive Care Unit. Finally, in the Clinical Evidence and Health Technology Assessment section brief discussions of topics of evidence-based medicine (Cochrane’s corner) and Research updates are published. IEM encourages letters of rebuttal and criticism of published articles. Topics of interest include all subjects that relate to the science and practice of Internal and Emergency Medicine.
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