Sinnvolle Diagnostik in der Notaufnahme

作者: R. Hoffmann

DOI: 10.1007/S00063-012-0136-8

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摘要: Die Echokardiographie ist das zentrale bildgebende Verfahren zur Diagnostik myokardialer, valvularer und struktureller Herzerkrankungen. koronare Herzkrankheit uber linksventrikulare Funktionsstorungen erkennbar. In der Notaufnahme bietet die rasche bettseitige Einsatzmoglichkeit beim instabilen Patienten, eine sofortige Therapie erfordert, entscheidende Vorteile. sog. „Appropriateness Criteria“ sehen Nutzung bei folgenden Notfallsituationen vor: 1) Beurteilung des Patienten mit Hypotension oder hamodynamischer Instabilitat, 2) myokardialer Ischamie Infarkt, 3) respiratorischem Versagen Verdacht auf kardiale Genese 4) gesicherter Lungenembolie Therapiesteuerung. hilft weiter differenzialdiagnostischen Klarung thorakaler Schmerzen. Der sinnvolle Einsatz kann gerade in entscheidende, weichenstellende Funktion haben. Jedoch aufgrund starken Untersucherabhangigkeit Methode auch von einem adaquat ausgebildeten Untersucher durchzufuhren.

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