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Vol. 16. Issue 4.
Pages 589-606 (July - August 2010)
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Vol. 16. Issue 4.
Pages 589-606 (July - August 2010)
Artigo de Revisão/Review Article
Open Access
Ecografia na patologia torácica
Ultrasound in chest disease
Visits
5833
António Bugalho1,
, Júlio Semedo*, João Alpendre2,**, José Cepeda Ribeiro*, Luís Carreiro*
1 Assistente Convidado de Pneumologia, CEDOC, Faculdade de Ciências Médicas, Universidade Nova de Lisboa
2 Assistente Convidado de Imagiologia, Faculdade de Ciências Médicas, Universidade Nova de Lisboa
* Unidade de Técnicas Invasivas Pneumológicas, Departamento de Pneumologia, Hospital de Pulido Valente, Centro Hospitalar Lisboa Norte
** Serviço Universitário de Radiologia, Hospital de Pulido Valente, Centro Hospitalar Lisboa Norte
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Resumo

Nos últimos anos a ecografia torácica tem vindo a ser reconhecida como um instrumento de extrema importância para os pneumologistas. Actualmente, os equipamentos são práticos, portáteis, de fácil utilização e fidedignos, o que os torna apropriados para utilização no diagnóstico e orientação de procedimentos terapêuticos.

Na avaliação de derrame pleural e condução de toracentese são necessárias competências técnicas básicas em ultra-sonografia. Procedimentos mais complexos devem ser realizados perante treino específico e incluem a colocação de dreno torácico e identificação com eventual biopsia de lesões torácicas.

Os autores procuram abordar, de um ponto de vista prático, a técnica e os recentes avanços alcançados neste campo. São apresentados alguns casos clínicos no sentido de ilustrar e guiar aqueles que desejam iniciar a realização de ecografia do tórax.

Rev Port Pneumol 2010; XVI (4): 589-606

Palavras-chave:
Ecografia
ultra-sonografia
tórax
pleura
doenças pulmonares
derrame pleural
cancro do pulmão
Abstract

In the past few years transthoracic ultrasound has been recognized as an important tool for chest physicians. At present, ultrasound devices are practical, portable, easy to use and reliable, which makes them suited for diagnostic investigations as well as for therapeutic procedures guidance.

Basic ultrasound technical expertise is required to assess pleural effusions and perform ultrasound-guided thoracentesis. More complex procedures can be done with specific training and include assistance to chest drain insertion and identification with potential biopsy of thoracic lesions.

The authors aim to review, in a practical approach, the technique and recent developments in this field. Clinical cases are presented in order to illustrate and guide the beginner in chest ultrasound.

Rev Port Pneumol 2010; XVI (4): 589-606

Key-words:
Ultrasound
sonography
chest
thorax
pleura
lung diseases
pleural effusion
lung cancer
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Copyright © 2010. Sociedade Portuguesa de Pneumologia/SPP
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