超声在急性呼吸窘迫综合征管理中的应用价值
Usefulness of ultrasound in the management of acute respiratory distress syndrome.
作者信息
Chaari Anis, Bousselmi Kamel, Assar Walid, Kumar Vaguish, Khalil Elsayed, Kauts Vipin, Abdelhakim Karim
机构信息
Department of Critical Care, King Hamad University Hospital, Al Muharaq, Kingdom of Bahrain.
出版信息
Int J Crit Illn Inj Sci. 2019 Jan-Mar;9(1):11-15. doi: 10.4103/IJCIIS.IJCIIS_30_18.
Abstract
Acute respiratory distress syndrome (ARDS) is a life-threatening disease. Different imaging techniques have been used to diagnose and guide the ventilatory management of patients with ARDS. Chest ultrasound is a reliable tool to identify interstitial syndrome, lung consolidation, lung collapse, and pleural effusion. In addition, echocardiography is essential in the diagnosis of diastolic left ventricle dysfunction and the estimation of elevated ventricle filling pressures, which is necessary before diagnosing ARDS. Therefore, combining chest and heart ultrasound assessment is useful to diagnose ARDS and guide the ventilatory management of the disease. Available data in the literature suggest that protocol-based approaches should be implemented for the purposes of diagnosis and management.
摘要
急性呼吸窘迫综合征（ARDS）是一种危及生命的疾病。不同的成像技术已被用于诊断和指导ARDS患者的通气管理。胸部超声是识别间质综合征、肺实变、肺萎陷和胸腔积液的可靠工具。此外，超声心动图对于诊断舒张期左心室功能障碍和估计心室充盈压升高至关重要，这在诊断ARDS之前是必要的。因此，结合胸部和心脏超声评估有助于诊断ARDS并指导该疾病的通气管理。文献中的现有数据表明，应采用基于方案的方法进行诊断和管理。
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