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临床综述:急性呼吸窘迫综合征患者的肺部影像学——最新进展

Clinical review: Lung imaging in acute respiratory distress syndrome patients--an update.

作者信息

Chiumello Davide, Froio Sara, Bouhemad Belaïd, Camporota Luigi, Coppola Silvia

出版信息

Crit Care. 2013 Nov 18;17(6):243. doi: 10.1186/cc13114.

DOI:10.1186/cc13114
PMID:24238477
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4056355/
Abstract

Over the past 30 years lung imaging has greatly contributed to the current understanding of the pathophysiology and the management of acute respiratory distress syndrome (ARDS). In the past few years, in addition to chest X-ray and lung computed tomography, newer functional lung imaging techniques, such as lung ultrasound, positron emission tomography, electrical impedance tomography and magnetic resonance, have been gaining a role as diagnostic tools to optimize lung assessment and ventilator management in ARDS patients. Here we provide an updated clinical review of lung imaging in ARDS over the past few years to offer an overview of the literature on the available imaging techniques from a clinical perspective.

摘要

在过去30年里,肺部成像极大地推动了当前对急性呼吸窘迫综合征(ARDS)病理生理学及治疗的认识。在过去几年中,除了胸部X线和肺部计算机断层扫描外,更新的功能性肺部成像技术,如肺部超声、正电子发射断层扫描、电阻抗断层扫描和磁共振成像,已逐渐成为优化ARDS患者肺部评估和呼吸机管理的诊断工具。在此,我们对过去几年ARDS肺部成像进行了最新的临床综述,从临床角度概述了有关现有成像技术的文献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6150/4056355/8ebcdea41d9d/cc13114-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6150/4056355/8ecac349364e/cc13114-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6150/4056355/c442e55e2651/cc13114-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6150/4056355/69758e61d9bc/cc13114-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6150/4056355/8ebcdea41d9d/cc13114-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6150/4056355/8ecac349364e/cc13114-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6150/4056355/c442e55e2651/cc13114-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6150/4056355/69758e61d9bc/cc13114-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6150/4056355/8ebcdea41d9d/cc13114-4.jpg

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The diagnostic accuracy of lung ultrasound to determine PiCCO-derived extravascular lung water in invasively ventilated patients with COVID-19 ARDS.

本文引用的文献

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Crit Care Med. 2013 May;41(5):1296-304. doi: 10.1097/CCM.0b013e3182771516.
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Measurement of alveolar recruitment at the bedside: the beginning of a new era in respiratory monitoring?床旁肺泡复张的测量:呼吸监测新时代的开端?
Respir Care. 2013 Mar;58(3):539-42. doi: 10.4187/respcare.02363.
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Evaluation of recruited lung volume at inspiratory plateau pressure with PEEP using bedside digital chest X-ray in patients with acute lung injury/ARDS.
在患有新型冠状病毒肺炎急性呼吸窘迫综合征(COVID-19 ARDS)的有创通气患者中,肺部超声测定脉搏指示连续心输出量(PiCCO)衍生的血管外肺水的诊断准确性。
Ultrasound J. 2023 Oct 2;15(1):40. doi: 10.1186/s13089-023-00340-7.
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Evaluating construct validity of computable acute respiratory distress syndrome definitions in adults hospitalized with COVID-19: an electronic health records based approach.评估基于电子健康记录的成人 COVID-19 住院患者可计算急性呼吸窘迫综合征定义的结构效度:一种电子健康记录的方法。
BMC Pulm Med. 2023 Aug 9;23(1):292. doi: 10.1186/s12890-023-02560-y.
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A Focused Review of the Initial Management of Patients with Acute Respiratory Distress Syndrome.急性呼吸窘迫综合征患者初始管理的重点综述
J Clin Med. 2023 Jul 13;12(14):4650. doi: 10.3390/jcm12144650.
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Acoustic Lung Imaging Utilized in Continual Assessment of Patients with Obstructed Airway: A Systematic Review.声学分段成像在气道阻塞患者连续评估中的应用:系统评价。
Sensors (Basel). 2023 Jul 7;23(13):6222. doi: 10.3390/s23136222.
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Prognostic Value of the Radiographic Assessment of Lung Edema Score in Mechanically Ventilated ICU Patients.机械通气的重症监护病房患者中肺水肿评分的影像学评估的预后价值
J Clin Med. 2023 Feb 4;12(4):1252. doi: 10.3390/jcm12041252.
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Am J Physiol Lung Cell Mol Physiol. 2023 Jan 1;324(1):L38-L47. doi: 10.1152/ajplung.00185.2022. Epub 2022 Nov 8.
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