Ospedale pediatrico Bambino Gesù, IRCCS, Piazza S. Onofrio 4, 00165, Rome, Italy.
Pediatr Radiol. 2020 Mar;50(3):314-320. doi: 10.1007/s00247-019-04524-z. Epub 2020 Feb 17.
In the 1990s, intensivists suggested a new type of sonography: lung ultrasound, based on artefacts that receive information even from physical acoustic phenomena not directly convertible into images of the human body. They compared the artefacts from the lung zones with no acoustic window with various computed tomography (CT) patterns. They used and still use US as a tool to evaluate patients bedside, i.e. monitoring of lung recruitment. They included Lung ultrasound in what was termed POCUS (Point-of-Care Ultrasound). Lung ultrasound has been progressively extended to paediatrics in general. The most appealing novelty has been the diagnosis of pneumothorax. Lung ultrasound was developed as a support tool for critical patients. Extrapolation with mass diffusion, in the absence of appropriate training, has led to misunderstandings and dangerous therapeutic diagnostic drifts.
在 20 世纪 90 年代，重症监护医生提出了一种新型的超声检查方法：肺部超声，它基于接收信息的伪像，甚至来自无法直接转换为人体图像的物理声学现象。他们将无超声窗的肺部区域的伪像与各种计算机断层扫描（CT）模式进行了比较。他们将 US 用作床边评估患者的工具，即监测肺复张。他们将肺部超声纳入了所谓的 PO-CUS（即时超声检查）中。肺部超声已逐渐扩展到儿科领域。最吸引人的新应用是气胸的诊断。肺部超声是作为重症患者的辅助工具而发展起来的。在缺乏适当培训的情况下进行大规模扩散的推断，导致了误解和危险的治疗诊断偏差。
