床边的微气泡:内腔CEUS以确认胸腔排水位置和位置
Andrea Boccatonda1, Carla Serra2
1Diagnostic and Therapeutic Interventional Ultrasound Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico Sant'Orsola-Malpighi, via Massarenti n 9, 40138, Bologna, Italy. andrea.boccatonda2@unibo.it.
与对比度增强的超声波 (CEUS) 可以确认胸部排水道的位置,并绘制胸腔溢出图. 这种快速,无辐射的方法提高了干预安全性和后续护理.
科学领域:
- 医疗成像医学成像
- 干预性肺病学 干预性肺病学
背景情况:
- 对比增强超声波 (CEUS) 应用正在扩展到肝胆道成像之外.
- CEUS的肺应用,特别是用于设备评估,是有限的.
研究的目的:
- 评估内CEUS用于确认胸腔排水位的实用性.
- 评估CEUS能够划分肺流和相关的肺透症的能力.
主要方法:
- 一个术后病人的病例报告,患有低血压性呼吸衰竭,原因是多发性溢血和脱口症.
- 在超声波指导下插入一个猪尾胸部排水管.
- 通过排水管灌注第二代超声波对比剂 (硫黄六化物).
- 实时CEUS可视化导管尖端,并使腔空间不透明.
主要成果:
- CEUS证实了胸部排水管的内位置.
- CEUS划分了多发性溢出和相关的骨质疏松症的程度.
- 对比度增强在大约4分钟内消失.
结论:
- 脑内内CEUS是一种快速的,床边的,无辐射的技术.
- CEUS可以有效地确认内置的胸部排水位.
- 这种方法可以增强干预的安全性,并改善多叶膜异常的后续管理.
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