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重症监护环境下肺部超声检查的基本见解

Basic Insights of Lung Ultrasonography in Critical Care Setting.

作者信息

Singh Shantanu, Kaur Harleen, Singh Shivank, Khawaja Imran

机构信息

Pulmonary Medicine, Marshall University School of Medicine, Huntington, USA.

Neurology, Univeristy of Missouri, Columbia, USA.

出版信息

Cureus. 2018 Dec 7;10(12):e3702. doi: 10.7759/cureus.3702.

Abstract

Lung ultrasonography has a tailored diagnostic and therapeutic approach in the critical care setting. Lung ultrasonography in critically ill (LUCI) is a helpful modality for the early detection and assessment of various lung pathologies and guides the management protocol for the same. The aim of this review was to highlight the basics of an ultrasound machine, the fundamentals of a lung ultrasound and the importance of lung artifacts in detecting the anatomy and pathology of the lung disease. In addition, we have also discussed regarding the effective approach to lung ultrasonography through the two protocols: the Bedside Lung Ultrasound in Emergency (BLUE) protocol and the Fluid Administration Limited by Lung Sonography (FALLS) protocol.

摘要

在重症监护环境中,肺部超声检查有其特定的诊断和治疗方法。重症患者肺部超声检查(LUCI)是早期发现和评估各种肺部病变的有用手段,并指导针对这些病变的管理方案。本综述的目的是强调超声机器的基础知识、肺部超声的基本原理以及肺部伪像在检测肺部疾病的解剖结构和病理方面的重要性。此外,我们还讨论了通过两种方案进行肺部超声检查的有效方法:急诊床边肺部超声(BLUE)方案和肺部超声引导下的液体管理(FALLS)方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b2/6372254/4f7e6687bfd5/cureus-0010-00000003702-i01.jpg

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