Lichtenstein Daniel A
Service de Réanimation Médicale, Hôpital Ambroise-Paré, Faculté Paris-Ouest, Boulogne, France.
Crit Care Med. 2007 May;35(5 Suppl):S250-61. doi: 10.1097/01.CCM.0000260674.60761.85.
Using simple and standardized semiology, the lung appears accessible to ultrasound, despite previous opinions otherwise. Lung ultrasound allows the intensivist to quickly answer to a majority of critical situations. Not only pleural effusion but also pneumothorax, alveolar consolidation, and interstitial syndrome will have accurate ultrasound equivalents, the recognition of which practically guides management. Combined with venous, cardiac, and abdominal examination, ultrasound investigation of this vital organ provides a transparent overview of the critically ill, a kind of stethoscope for a visual medicine. It is believed that by using this tool, the intensivist may more confidently manage acute dyspnea and make emergency therapeutic decisions based on reproducible data. Further benefits include reduced requirements for computed tomographic scans, therefore decreasing delay, irradiation, cost, and above all, discomfort to the patient. Thus, ultrasound of the lung can also be added to the classic armamentarium as a clinical tool for emergency use.
运用简单且标准化的症状学，尽管以往有不同观点，但肺似乎可以通过超声进行检查。肺部超声使重症监护医生能够迅速应对大多数危急情况。不仅胸腔积液，气胸、肺泡实变和间质综合征在超声检查中也会有对应的准确表现，对这些表现的识别实际上可指导治疗。结合静脉、心脏和腹部检查，对这个重要器官进行超声检查能为重症患者提供清晰的整体情况，就像是视觉医学的听诊器。人们认为，通过使用这个工具，重症监护医生可以更自信地处理急性呼吸困难，并基于可重复的数据做出紧急治疗决策。进一步的好处包括减少对计算机断层扫描的需求，从而减少延迟、辐射、成本，最重要的是减少患者的不适。因此，肺部超声也可作为一种临床急救工具添加到经典的医疗设备中。
