With the noninvasive, convenient, and unique value in tile quick diagnosis and dynamic monitoring during the course of treatment, critical ultrasonography has been widely used in critical care medicine, regarded as t...With the noninvasive, convenient, and unique value in tile quick diagnosis and dynamic monitoring during the course of treatment, critical ultrasonography has been widely used in critical care medicine, regarded as the ＂visual stethoscope＂ and applied in medical education and training system. Based on years of experience in the application and promotion of critical ultrasonography, the authors of this study suggested that a proper understanding of critical ultrasonography is of most importance, and a consistent quality control system is required to minimize misdiagnosis,展开更多
The quick evaluation of venous thromboembolism is a key point of modern medicine since the delayed diagnosis is associated with a worse prognosis.Venous ultrasound(VU)is a sensitive and rapidly performed test in cases...The quick evaluation of venous thromboembolism is a key point of modern medicine since the delayed diagnosis is associated with a worse prognosis.Venous ultrasound(VU)is a sensitive and rapidly performed test in cases of suspected deep venous thrombosis.Various protocols have been proposed for its execution,such as the study of the whole deep venous circulation of the lower limb or the analysis of the femoral-popliteal area.The aim is to detect a vessel thrombus and the most sensitive element is the non-compressibility with the probe.Initially,the thrombus is hypoechogenic and adherent to the vessel;later,it tends to organize and recanalize.Usually,in the early stages,the risk of embolism is higher.The role of studying the iliac axis and calf veins is still uncertain.VU is not useful for assessing response to anticoagulation therapy and it is unclear whether the persistence of thrombotic abnormalities can guide on a possible prolongation of therapy.展开更多
文摘With the noninvasive, convenient, and unique value in tile quick diagnosis and dynamic monitoring during the course of treatment, critical ultrasonography has been widely used in critical care medicine, regarded as the ＂visual stethoscope＂ and applied in medical education and training system. Based on years of experience in the application and promotion of critical ultrasonography, the authors of this study suggested that a proper understanding of critical ultrasonography is of most importance, and a consistent quality control system is required to minimize misdiagnosis,
文摘The quick evaluation of venous thromboembolism is a key point of modern medicine since the delayed diagnosis is associated with a worse prognosis.Venous ultrasound(VU)is a sensitive and rapidly performed test in cases of suspected deep venous thrombosis.Various protocols have been proposed for its execution,such as the study of the whole deep venous circulation of the lower limb or the analysis of the femoral-popliteal area.The aim is to detect a vessel thrombus and the most sensitive element is the non-compressibility with the probe.Initially,the thrombus is hypoechogenic and adherent to the vessel;later,it tends to organize and recanalize.Usually,in the early stages,the risk of embolism is higher.The role of studying the iliac axis and calf veins is still uncertain.VU is not useful for assessing response to anticoagulation therapy and it is unclear whether the persistence of thrombotic abnormalities can guide on a possible prolongation of therapy.
