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肺部超声在社区获得性肺炎诊断和随访中的作用。

The role of lung ultrasound in the diagnosis and follow-up of community-acquired pneumonia.

机构信息

Pneumology & Allergology, Friedrich-Schiller-University, Jena, Germany.

出版信息

Eur J Intern Med. 2012 Jul;23(5):391-7. doi: 10.1016/j.ejim.2012.01.003. Epub 2012 Feb 21.

Abstract

CAP may be diagnosed and followed up by lung sonography (LUS), a technique that shows excellent sensitivity and specificity that is at least comparable with that of chest X-ray in two planes. LUS may be performed with any abdomen-sonography device. Therefore, LUS is a readily available diagnostic tool that does not involve radiation exposure and has wide applications especially in situations where X-ray is not available and/or not applicable. An X-ray or CT of the chest should be performed in cases of negative lung sonography and if other differential diagnoses or complications are suspected.

摘要

肺超声(LUS)可用于 CAP 的诊断和随访,该技术具有出色的灵敏度和特异性,其诊断效能至少与传统的 2 平面 X 射线胸片相当。LUS 可在任何腹部超声设备上进行。因此,LUS 是一种易于获得的诊断工具,不会涉及射线暴露,且具有广泛的应用场景,尤其适用于 X 射线不可用和/或不适用的情况。如果肺部超声检查为阴性,且怀疑存在其他鉴别诊断或并发症,则应进行胸部 X 射线或 CT 检查。

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