Carrillo-Esper Raúl, Brom-Valladares Rocío, Carrillo-Córdova Luis Daniel, Carrillo-Córdova Jorge Raúl
Unidad de Terapia Intensiva, Fundación Clínica Médica Sur, México, D.F., Mexico.
Cir Cir. 2009 Jul-Aug;77(4):323-8; 301-6.
Pulmonary ultrasonography (PUSG) is a new diagnostic tool for pleuropulmonary disease in the critically ill patient. Images obtained in this study result from the interaction between the ultrasound shaft with the pleura, the pulmonary parenchyma and the air/liquid interface. These images are classified as horizontal and vertical. Their correct identification and interpretation requires a learning curve. Currently, PUSG is an excellent alternative to evaluate pulmonary condition of hospitalized patients in the intensive care unit (ICU). Sensitivity and specificity are high for pneumothorax, alveolar-interstitial syndrome and pleural effusion diagnosis. PUSG practiced in the ICU is one of the most promising diagnostic procedures in intensive care medicine, and the practice and indications of this tool will surely extend in the coming years. The objective of this study is to make known the general principles of PUSG and their use in the critically ill patient, based on cases of hospitalized patients in the ICU of the Medica Sur Clinical Foundation that were studied with PUSG.
肺部超声检查（PUSG）是一种用于危重症患者胸膜肺部疾病的新型诊断工具。本研究中获得的图像是超声束与胸膜、肺实质以及气/液界面相互作用的结果。这些图像分为水平图像和垂直图像。正确识别和解读这些图像需要一个学习过程。目前，PUSG是评估重症监护病房（ICU）住院患者肺部状况的一种极佳替代方法。对于气胸、肺泡-间质综合征和胸腔积液的诊断，其敏感性和特异性都很高。在ICU中进行的PUSG是重症医学中最有前景的诊断方法之一，并且该工具的应用和适应证在未来几年肯定会得到扩展。本研究的目的是基于在Medica Sur临床基金会ICU住院患者中使用PUSG进行研究的病例，介绍PUSG的一般原则及其在危重症患者中的应用。
