Hitit University, Erol Olcok Education and Research Hospital, Department of Emergency Medicine, Corum, Turkey.
Ankara University, School of Medicine, Department of Emergency Medicine, Ankara, Turkey.
Ultrasound Med Biol. 2020 May;46(5):1189-1196. doi: 10.1016/j.ultrasmedbio.2020.01.014. Epub 2020 Feb 14.
Bedside lung ultrasonography (LUS) is a reliable method for the diagnosis of pneumonia. No common consensus exists in the literature regarding the effectiveness of LUS findings, except consolidation, for the diagnosis of pneumonia. The primary objective of this study was to investigate the effectiveness of LUS for the diagnosis of pneumonia, and the secondary objective was to investigate the use of LUS findings, except consolidation, for the diagnosis of pneumonia. A total of 127 patients with clinically suspected pneumonia were evaluated in the study. The sensitivity and specificity of LUS were 98.0% and 95.8%, respectively. In the cases where consolidation was not determined in LUS but B-3 line positivity or a diffuse interstitial pattern was present, the sensitivity and specificity were 93.3% and 88.2%, respectively. When consolidation was not observed in LUS, the presence of B-3 line positivity or diffuse interstitial pattern could be used for the diagnosis of pneumonia.
床边肺部超声检查（LUS）是一种可靠的肺炎诊断方法。除实变外，文献中对于 LUS 发现对肺炎诊断的有效性尚无共识。本研究的主要目的是研究 LUS 对肺炎诊断的有效性，次要目的是研究除实变外的 LUS 发现对肺炎诊断的有效性。本研究共评估了 127 例临床疑似肺炎患者。LUS 的灵敏度和特异性分别为 98.0%和 95.8%。在 LUS 中未确定实变但存在 B-3 线阳性或弥漫性间质模式的情况下，灵敏度和特异性分别为 93.3%和 88.2%。当 LUS 中未观察到实变时，B-3 线阳性或弥漫性间质模式的存在可用于诊断肺炎。
