Lasarte Izcue A, Navasa Melado J M, Blanco Rodríguez G, Fidalgo González I, Parra Blanco J A
Servicio de Radiodiagnóstico, Hospital Universitario Marqués de Valdecilla, Santander, España.
Servicio de Radiodiagnóstico, Hospital Universitario Marqués de Valdecilla, Santander, España.
Radiologia. 2014 May-Jun;56(3):229-34. doi: 10.1016/j.rx.2012.09.003. Epub 2012 Nov 30.
The ultrasonographic diagnosis of pneumothorax is based on the analysis of artifacts. It is possible to confirm or rule out pneumothorax by combining the following signs: lung sliding, the A and B lines, and the lung point. One fundamental advantage of lung ultrasonography is its easy access in any critical situation, especially in patients in the intensive care unit. For this reason, chest ultrasonography can be used as an alternative to plain-film X-rays and computed tomography in critical patients and in patients with normal plain films in whom pneumothorax is strongly suspected, as well as to evaluate the extent of the pneumothorax and monitor its evolution.
气胸的超声诊断基于对伪像的分析。通过综合以下征象可确诊或排除气胸:肺滑动、A线和B线以及肺点。肺部超声检查的一个基本优势在于,在任何危急情况下都易于实施,尤其是在重症监护病房的患者中。因此,胸部超声检查可替代X线平片和计算机断层扫描,用于重症患者以及高度怀疑气胸但平片正常的患者,还可用于评估气胸的范围并监测其进展情况。