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My patient is short of breath: have they got a pneumothorax?

机译：我的病人呼吸急促：他们得了气胸吗？

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Clinical diagnosis of pneumothorax in the emergency department (ED) resuscitation room can be difficult and in certainncircumstances chest radiography is either impractical or the delay is unacceptable. The diagnosis must also be considered innother clinical areas such as critical care, theatres, respiratory units and acute medical units. Erect chest radiography is thenstandard first-line diagnostic test for pneumothorax in the ED, but the sensitivity is low (59–81%). For many patients in ED,ncritical care and theatre, an erect chest radiograph is not possible as the patient must remain supine. The sensitivity for ansupine chest radiograph has been reported as being 45–75%. Ultrasound has been shown to be more sensitive than chestnradiography in the diagnosis of pneumothorax in certain settings. This paper outlines the evidence for ultrasound in thendiagnosis of pneumothorax in the point of care setting; it describes the technique and discusses the clinical application of thisnimaging modality.
机译：在急诊室（ED）的复苏室对气胸的临床诊断可能很困难，在某些情况下，胸部X光片检查不可行或延误是不可接受的。在其他临床领域，例如重症监护室，剧院，呼吸科和急诊科，也必须考虑诊断。胸部X线摄片术是急诊室气胸的一线诊断标准检查，但敏感性较低（59-81％）。对于许多急诊，急诊和剧院患者来说，由于患者必须保持仰卧，因此无法进行胸部X光片检查。据报道，对安息香的胸部X光片的敏感性为45％至75％。在某些情况下，超声显示比胸片更能诊断气胸。本文概述了在护理现场进行超声诊断气胸的证据。它描述了该技术，并讨论了这种成像方式的临床应用。

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