Zusammenfassung
Die Thoraxsonographie ist eine gut validierte, nichtinvasive und portable Untersuchungstechnik, die sich hervorragend für eine initiale Notfalldiagnostik bei pulmonalen Notfällen eignet. Mittels Thoraxsonographie kann am Notfallort die Fragestellung eines Pneumothorax, einer Pneumonie, einer Lungenembolie oder der Verdacht auf eine Lungenkontusion bei einem Thoraxtrauma mit hoher Sensitivität und Spezifität näher abgeklärt werden. Vorteil ist die rasche, symptombezogene Abklärung, nachteilig, dass pulmonale Veränderungen nur dann darstellbar sind, wenn sie bis zur Pleura heranreichen bzw. über ein Schallfenster, z. B. eines Pleuraergusses, erreichbar sind.
Abstract
Thoracic ultrasound is a valuable, non-invasive and portable diagnostic procedure which is highly applicable for an initial workup in thoracic emergencies. By ultrasound of the thorax the question of pneumothorax, pneumonia, pulmonary embolism or the suspicion of a lung contusion in a patient with chest trauma can be clarified quickly. An advantage of thoracic sonography is a rapid, symptom-based examination with high sensitivity and specificity. The disadvantage is that pulmonary alterations can only be visualized if they extend to the pleura or if a sound window, e.g. an effusion is present.
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Kreuter, M., Herth, F., Wenz, H. et al. Sonographische Notfalldiagnostik des Thorax. Pneumologe 9, 436–443 (2012). https://doi.org/10.1007/s10405-012-0589-8
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DOI: https://doi.org/10.1007/s10405-012-0589-8