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急诊发展20年:超声应用成最大进展

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vancom 发表于 2015-11-1 23:05:42 |阅读模式 |复制链接
                2015-11-01_230736.jpg 为一种重要的诊断工具于 20 世纪 80 年代出现,由于电路的改进,容许价格低廉的设备、探头更小可以产生更加清晰的图像。随着 3D 和 4D 图像的出现,这项诊断工具也于 20 世纪 90 年代被进一步改善,而它在急诊医学中的广泛应用是急救护理中的最大进步。美国纽约林诺克斯山医院的主任医师 Glatter 称,超声在急救医学中的应用改善和革新了我们对患者的评估、治疗和处理,因此它是过去 20 年里该专业实践的一个重要转变。在危急情况下,它可快速精确地诊断,加快治疗并减少并发症和死亡风险;它还可适应我们对生命体征快速变化、需立即治疗患者的持续护理服务;更重要的是,超声的应用大大降低了中心静脉插管的并发症。一些专家推测,在不久的将来,超声可能会取代听诊器的应用。 Emergency Medicine: UltrasoundRealtime ultrasonography as an important diagnostic tool emerged in the 1980s as improved circuitry allowed for less expensive equipment with smaller probes and clearer imaging.[20] The tool was further improved in the 1990s with the advent of 3D and 4D images. Its widespread use in emergency medicine is the single biggest advance in emergency care, according to Robert Glatter, MD, attending physician at New York City's Lenox Hill Hospital. "The introduction of ultrasound into the practice of emergency medicine has improved and revolutionized the way we evaluate, treat, and make dispositions for patients, thus allowing a shift in the practice of the specialty over the past 20 years. It has allowed for rapid and accurate diagnosis of life-threatening conditions‎, and provision of expedited treatment to reduce the risk for complications and death. It has also improved our ability to provide ongoing care for patients who have rapidly changing vital signs and need immediate treatment. Most important, the use of ultrasound has improved safety by allowing invasive central lines to be placed more accurately, and has allowed better peripheral placement, where standard approaches may not succeed." Point-of care handheld  devices  have  largely  replaced  auscultation  in cardiology,  obstetrics,and gastroenterology. Many experts speculate that the technology will make the stethoscope obsolete in the foreseeable future. 原文链接:medcape
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