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[床旁超声在肺部疾病诊断中的应用价值]

[Utility of point-of-care ultrasound in lung disease diagnosis].

作者信息

Wierzejski Wojciech, Treszczanowicz Joanna, Targowski Tomasz

出版信息

Pol Merkur Lekarski. 2014 Aug;37(218):111-4.

Abstract

A new method in the diagnostics of respiratory failure is lung ultrasound (LUS). The test assesses the pleural line and its related artefacts caused by the changing content of extravascular lung water which conditions the degree of lung aeration. Assessment of the movement of the pleural line and the related artefacts (A lines and B lines) enables diagnosis of respiratory failure and treatment monitoring. The advantage of LUS is the possibility of assessing lung function in real time, and the possibility of obtaining information about aeration of the examined part of lung parenchyma. In comparison to other imaging methods, ultrasound is characterized by a considerable specificity and sensitivity in diagnostics and differentiation of numerous diseases, such as pneumothorax, pneumonia, ARDS, and pulmonary edema.

摘要

肺部超声(LUS)是诊断呼吸衰竭的一种新方法。该检查评估胸膜线及其因血管外肺水含量变化而产生的相关伪像,而血管外肺水含量决定了肺通气程度。评估胸膜线的移动及相关伪像(A线和B线)有助于诊断呼吸衰竭并监测治疗情况。肺部超声的优势在于能够实时评估肺功能,以及获取有关肺实质被检查部位通气情况的信息。与其他成像方法相比,超声在诊断和鉴别多种疾病(如气胸、肺炎、急性呼吸窘迫综合征和肺水肿)时具有相当高的特异性和敏感性。

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