POCUS Education/POCUS Issue

Acute dyspnea in the emergency department: a clinical review

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大圖連結

PDF全文連結

Internal and Emergency Medicine (2023)的這篇文章中對於Lung US的簡要整理和製圖很不錯，有興趣的人可以利用這個圖來快速複習。

【The presence of “lung sliding” and “A lines” in the absence of deep vein thrombosis excludes PE, while it may be suggestive of COPD or asthma exacerbation as a cause of dyspnea and respiratory failure after the exclusion of the previous diagnoses [83].】 文中的這一部份我是持保留態度的。Sliding + A lines代表掃描部位的肋膜處沒有形態上的異常，但是更下方的肺實質或是肺血管是否有病變，並無法用肋膜處的掃描就足以排除。

以下附上手持超音波(Apache Ultrasound)相對應部位的正常超音波影像

Bat sign, Sliding & A lines
Bat sign, Sliding & A lines (with mode)
Bat sign, Sliding & A lines
Bat sign, Sliding & A lines (with mode)
Right diaphragm movement
Left diaphragm movement
Right diaphragm movement with M mode recording (represent diaphragm movement)
Liner probe for diaphragm thickening during respiration
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Chen KC