胸部超声PPT课件.ppt

胸部超声的入门 Alifesaving safety enhancing efficiency promotingtechnology 1 胸部超声简介 Ultrasoundhaslongshownitsutilityforplainorgans Althoughthelunghastraditionallybeenexcludedfromitsrepertoire studieshaveproventhatthisbeliefwasunfounded Since1989inICU usingdevotedlogistics theconceptofwholebodyultrasoundwasdevelopedandextendedtothelungsformanagingcriticalsituations Lungultrasonographyisbecomingastandardtoolincriticalcare 2 胸部超声看什么 1 PleurallineandA lines 3 胸部超声看什么 1 PleurallineandA lines 4 胸部超声看什么 2 B lines 5 胸部超声看什么 2 B lines 6 胸部超声看什么 3 Z linesorO lines 7 胸部超声看什么 3 Z linesorO lines 8 胸部超声看什么 9 胸部超声的应用 1 探头选择2 体表位置3 深度 10 胸部超声的应用 11 胸部超声的应用 12 胸部超声的应用 13 胸部超声的应用 14 胸部超声的应用 15 胸部超声的应用 Interstitialsyndrome Theseverticalcomet tailartifactsarisestrictlyfromthepleuralline arewelldefined laserlike hyperechoic movewithlungsliding spreadtotheedgeofthescreenwithoutfading anderaseAlines dottedarrowsindicatetheirtheoreticallocation ThispatterndefinesBlines SeveralBlinesinasingleview reminiscentofarocketatlift off arecalledlungrockets orBlines featuringhere B3lines Diffuselungrocketsindicateinterstitialsyndrome OneortwoBlinesinasingleview referredtoasthebline havenopathologicsignificance Thispatienthadcardiogenicpulmonaryedema 16 胸部超声的价值 17 胸部超声的价值 18 胸部超声的前景 CanChestUltrasonographyReplaceStandardChestRadiographyforEvaluationofAcuteDyspneaintheED 19 胸部超声的表现 Conventionaltwo dimensionalechographicimagingofthenormallung Thepleurallineisvisualizedasabrighthyperechogenicinterfacelateraltotherib Normalhorizontalartifactsareshown A lines 20 胸水的超声表现 Two dimensionalechographicimageofabasalfreepleuraleffusionappearingasananechoicfreespacebetweenthepleurallineandthediaphragm Aportionofatelectaticlungisshown 21 肺挫伤的超声表现 Left normalimage withoneisolatedB line arrows Right ultrasonographicpatternofAIS withseveralmergingB linesarisingfromthepleuralline notetheabsenceofA lines 22 肺挫伤的超声表现 Sonographicpatternofparenchymallungconsolidation PPLs eitherisolated leftpanel ormultiple rightpanel arrows appearashypoechoicpleural basedfocalimagesallowingultrasoundtransmission fromwhichB line likeartifactsarise asterisks 23 肺栓塞的超声表现 Twotypicallunginfarctsafterpulmonaryembolism 24 肺栓塞的超声表现 Pulmonaryembolismsonogram A47 yr oldpatientwithpulmonaryembolism Thepatientsufferedfromseveredyspneaandbreath dependingthoracicpain Thesonogramdepictstwotriangular hypoechoic pleural basedparenchymallesionswithintheareaofthoracicpain 25 脓胸的超声表现 Inacaseoflungabscess theair fluidlevelwithinlungparenchyma arrowhead doesnotextendtotheparietalpleura 26 脓气胸的超声表现 Inacaseofpyopneumothorax theair fluidlevelextendstotheparietalpleura shownasahorizontalline arrowhead Duringreal timesonography theglidingsigndisappearsabovetheair fluidlevel indicatingpneumothorax arrow Themovementoftheair fluidlevelsynchronizedwithrespirationiscalledthecurtainsign Thesuspendedmicrobubblesignisalsonotedwithintheeffusion 27 胸膜粘连的表现 A Chestultrasonographyintheseventhintercostalspaceinthemidaxillaryline Thelinear arraytypeoftransducerisheldat45degreesrelatedtothelongitudinaldirection B Chestultrasonographicimages