Arystan A Z, Khamzina Y T, Benberin V V, Fettser D V, Belenkov Y N
Medical Centre Hospital of the President's Affairs Administration of the Republic of Kazakhstan.
Municipal Clinical Hospital #52 at the Health Care Department of Moscow City.
Kardiologiia. 2020 Feb 4;60(1):81-92. doi: 10.18087/cardio.2020.1.n617.
This review focused on ultrasound examination of lungs, a useful complement to transthoracic echocardiography (EchoCG), which is superior to chest X-ray in the diagnostic value. The lung acoustic window always remains open and allows obtaining high-quality images in most cases. For a cardiologist, the major points of the method application are determination of pleural effusion and lung congestion. This method has a number of advantages: it is time-saving; cost-effective; portable and accessible; can be used in a real-time mode; not associated with radiation; reproducible; and highly informative. The ultrasound finding of wet lungs would indicate threatening, acute cardiac decompensation long before appearance of clinical, auscultative, and radiological signs of lung congestion. Modern EchoCG should include examination of the heart and lungs as a part of a single, integrative ultrasound examination.
本综述聚焦于肺部超声检查，它是经胸超声心动图（EchoCG）的一项有益补充，在诊断价值上优于胸部X光。肺部声学窗口通常保持开放，在大多数情况下能够获取高质量图像。对于心脏病专家而言，该方法应用的要点在于确定胸腔积液和肺充血情况。此方法具有诸多优点：节省时间；性价比高；便于携带且易于操作；可实时使用；无辐射；具有可重复性；信息量大。肺部超声显示肺湿啰音，表明在出现肺充血的临床、听诊及放射学征象之前，就可能存在威胁生命的急性心脏失代偿。现代EchoCG应将心脏和肺部检查纳入单一的综合超声检查之中。
