Dipartimento Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.
Dipartimento Scienze della Vita e Sanità Pubblica, Università Cattolica del Sacro Cuore, Rome, Italy.
Ultrasound Obstet Gynecol. 2020 Jul;56(1):106-109. doi: 10.1002/uog.22055.
Lung ultrasound has been suggested recently by the Chinese Critical Care Ultrasound Study Group and Italian Academy of Thoracic Ultrasound as an accurate tool to detect lung involvement in COVID-19. Although chest computed tomography (CT) represents the gold standard to assess lung involvement, with a specificity superior even to that of the nasopharyngeal swab for diagnosis, lung ultrasound examination can be a valid alternative to CT scan, with certain advantages, particularly for pregnant women. Ultrasound can be performed directly at the bed-side by a single operator, reducing the risk of spreading the disease among health professionals. Furthermore, it is a radiation-free exam, making it safer and easier to monitor those patients who require a series of exams. We report on four cases of pregnant women affected by COVID-19 who were monitored with lung ultrasound examination. All patients showed sonographic features indicative of COVID-19 pneumonia at admission: irregular pleural lines and vertical artifacts (B-lines) were observed in all four cases, and patchy areas of white lung were observed in two. Lung ultrasound was more sensitive than was chest X-ray in detecting COVID-19. In three patients, we observed almost complete resolution of lung pathology on ultrasound within 96 h of admission. Two pregnancies were ongoing at the time of writing, and two had undergone Cesarean delivery with no fetal complications. Reverse transcription polymerase chain reaction analysis of cord blood and newborn swabs was negative in both of these cases. Copyright © 2020 ISUOG. Published by John Wiley & Sons Ltd.
最近，中国重症超声研究组和意大利胸腔超声学会建议将肺部超声作为一种准确的工具，用于检测 COVID-19 患者肺部受累情况。虽然胸部计算机断层扫描（CT）是评估肺部受累的金标准，其诊断的特异性甚至优于鼻咽拭子，但肺部超声检查可以作为 CT 扫描的有效替代方法，具有某些优势，特别是对孕妇而言。超声检查可以由一名操作人员直接在床边进行，降低了在医务人员中传播疾病的风险。此外，它是一种无辐射的检查，使监测那些需要进行一系列检查的患者更加安全和方便。我们报告了四例感染 COVID-19 的孕妇的病例，她们接受了肺部超声检查。所有患者在入院时均显示出 COVID-19 肺炎的超声特征：所有 4 例患者均观察到不规则的胸膜线和垂直伪影（B 线），2 例患者观察到斑片状白肺。与胸部 X 线相比，肺部超声在检测 COVID-19 方面更敏感。在 3 例患者中，我们观察到入院后 96 小时内肺部病变几乎完全消退。在撰写本文时，有 2 例妊娠仍在继续，2 例已行剖宫产，且无胎儿并发症。这两种情况下，对脐血和新生儿拭子的逆转录聚合酶链反应分析均为阴性。版权所有 © 2020 ISUOG。由 John Wiley & Sons Ltd 出版。
