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Gebhard Mathis (Ed.)
Chest Sonography
Gebhard Mathis (Ed.)
Chest
Sonography
Second Edition
With 321 Figures and 25 Tables
123
Prof. Dr. Gebhard Mathis
Internistische Praxis
Bahnhofstrasse 16/2
6830 Rankweil
Austria
Library of Congress Control Number: 2007930215
ISBN 978-3-540-72427-8 Springer Berlin Heidelberg New York
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Editor: Dr. Ute Heilmann, Heidelberg, Germany
Desk Editor: Meike Stoeck, Heidelberg, Germany
Reproduction, typesetting and production: LE-T
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X Jelonek, Schmidt & Vöckler GbR, Leipzig, Germany
Cover design: Frido Steinen-Broo, EStudio, Calamar, Spain
SPIN 12029181
Printed on acid-free paper 21/3180/YL 5 4 3 2 1 0
Preface
he scope of application of chest sonography has been
signiicantly widened in the last few years. Portable ultra
sound systems are being used to an increasing extent in
preclinical sonography, at the site of trauma, in the am
bulance of the emergency physician or in ambulance
helicopters. In the emergency room, at the intensive care
unit and in clinical routine, chest sonography has proved
its worth as a strategic instrument to be used directly
ater the clinical investigation. It helps the investigator to
decide—very rapidly—whether a traumatized patient is
sufering such severe internal hemorrhage that he needs
to be transported to the operating room immediately or
whether there still is time for further investigations like
CT. Several diagnoses such as pneumothorax, pneumo
nia or pulmonary embolism can be established immedi
ately.
Numerous recent publications have signiicantly
deepened our knowledge of chest sonography: the so
nomorphology of the normal pleura has been described
more accurately on cadavers and in histological sections.
he sonoanatomy of the upper aperture of the thorax has
been extended to include imaging of the brachial plexus,
which allows more precise administration of regional an
esthesia and the application of a smaller quantity of the
anesthetic. Monumental studies on lymph node staging
in the presence of bronchial carcinoma have been pre
sented. Here sonography is markedly superior to CT. he
high value of endoluminal accesses has been explained in
greater detail and with greater precision.
he present new issue has been extended to include
two subjects. Contrast sonography is currently at the
threshold of being introduced for the diferentiation of
subpleural lung lesions—in some instances the sonomor
phology of the Bmode image and colorDoppler sonog
raphy are still ambiguous. he second new section is an
elucidation of clinical sonography from symptoms to di
agnosis.
I am most deeply indebted to the team of authors for
their creative cooperation and timely submissions. I also
thank SpringerVerlag for their close collaboration and
careful production of the book.
he purpose of this pictorial atlas is to help colleagues
serve their patients better. It will hopefully enable clini
cians to establish diagnoses rapidly at the patient’s bed
side with greater accuracy and eiciency, and to initiate
appropriate therapeutic measures on time.
Rankweil, August 2007
Gebhard Mathis
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