Sriram Krishna B, Singh Maninder
Department of Respiratory Medicine, Gold Coast University Hospital, Gold Coast, Queensland, Australia.
School of Medicine, Griffith University, Gold Coast, Queensland, Australia.
Intern Med J. 2017 Mar;47(3):324-327. doi: 10.1111/imj.13370.
We report on preliminary observations on performing lung ultrasound (LUS) in patients admitted to hospital with an exacerbation of chronic obstructive pulmonary disease (COPD). We found that LUS had high specificity and moderate sensitivity in identifying patients with elevated B-type natriuretic peptide. Thus, we hypothesise that LUS may have utility in screening COPD patients with an exacerbation to identify the sub-group with elevated natriuretic peptides and are at risk of increased cardiovascular mortality. The use of LUS in patients with acute and chronic respiratory disorders is increasing and its role in COPD patients is an interesting subject for future research.
我们报告了对因慢性阻塞性肺疾病（COPD）急性加重而住院的患者进行肺部超声（LUS）检查的初步观察结果。我们发现，LUS在识别B型利钠肽升高的患者方面具有高特异性和中等敏感性。因此，我们推测LUS可能有助于筛查COPD急性加重患者，以识别利钠肽升高且有心血管死亡风险增加的亚组。LUS在急慢性呼吸系统疾病患者中的应用正在增加，其在COPD患者中的作用是未来研究的一个有趣课题。
