掌超家用:居家动态监测胸水第一例-(20221129)

掌超家用:居家动态监测胸水第一例-(20221129)

 

()背景

患者肖绍博(居家管护代号BXS0406),男,78岁,2022年4月在北京某三甲医院经病理会诊确诊为“恶性胸膜间皮瘤”后,出院居家谋求/实施中西医结合综合康养最适方案,请北京慧家健康信息力研究院(BHI)助力。

该患者可定量检测/监测的主要临床异常是胸部CT或B超显示“左侧大量胸水”,相关临床表现主要是干咳、气短、胸胁痛。出于安全性考虑,患者选用B超为日常监测手段。

到医院做超声,需要完成预约挂号缴费等手续,加上路途和等候时间,就近完成一次胸水检查,至少需要半天时间,而技师完成这样的超声检查仅需10-15分钟。

()居家试用掌超的探索

2019年初,在全全健康公益项目学术讲座上,超声专家委员会主任毓教授介绍了“掌超在国内外研发和应用最新动态”。在了解了老友上述病情后,毓主任告知,可以帮助联系厂家,多方合作探索居家试用掌超监测胸水,患者欣然同意。在厂家、专家和BHI健康管护师共同努力下,以患者BXS0406为中心的,居家掌超监测胸水探索开始了。这也是全全公益项目的一部分【附注】。

()试用效果与新发现

经本人反复摸索学习,专家面对面示范和远程指导并在门诊就医时请教医院技师,该患者家庭相信,已初步掌握了掌超测胸水的基本知识和操作技巧,可初步满足在家实时检测监测胸水(参见附图)的需要。

主要发现之一,是居家掌超结果与医院大型超声设备结果大体一致,但方便得多,可以及时发现新变化,有利于巩固疗效,指导治疗和康复方案的优化。

主要发现之二,是患者观察到胸水逐渐下降时,恰逢患者暂停和减半再减半中医处方抗癌药物剂量,同时大量增加体育锻炼康养内容。在本例康养/治疗措施和胸水之间,一定存在定量或半定量关系,相信掌超将在这样的探索研究之中发挥重大作用。

()附图和附注

 附图。掌超探头如手掌大小,可在平板电脑上观察、记录和解析图像与视频

 

附注。关于全全健康公益项目的说明

全全健康公益项目,由北京慧家健康信息力研究院牵头,在多年工作基础上,与各界合作伙伴共同发起。

项目全名为全民健康·全民健康信息力·全民健康长寿大科学工程公益促进项目。目的是促进家家健康人人长寿。

活动内容是合作开展公益性科普宣传和培训·研修;和知音又有共同兴趣的机构/自然人合作,联合申请本领域国家部委与地方政府项目,联合或协助争取专项财政投入/补贴、社会捐赠、赞助和志愿者的时间投入,以此为支撑,联合有条件有兴趣的先行地的有关各方,协力完善和加强全民健康信息场功能,协力研究现代健康管家·管护与自我管护结合的家庭健康·居家养老新场景·新业态,协力促进人本健康信息力工程技术人才和人本健康大数据循证整合医学专业人才与循证整合家庭健康微服务职业队伍及家庭健康信息达人和现有所有各方的大协作,进而协力推进数字健康与数字经济大融合,由公益性活动带动民生经济。

发起者深信,这些都是实现我的健康我做主/家家健康人人长寿美好愿景的有效步骤,由此可有效助力人口、家庭与健康相关产业领域的科技创新、新业态发展和双循环思路落地,完全符合十四五规划思路和中央的大方针和总体部署。

()感谢

感谢毓教授的大力支持,感谢超声专家刘教授的专业辅导与支持,感谢索诺星掌上超声蔡总的大力支持。

 

执笔:陈琳,北京慧家健康信息力研究院

 

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