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使用母体肺超声诊断 2019 冠状病毒病孕妇的肺炎。

The diagnosis of pneumonia in a pregnant woman with coronavirus disease 2019 using maternal lung ultrasound.

机构信息

UOC Pneumologia, Dipartimento Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

UOC Pneumologia, Dipartimento Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

出版信息

Am J Obstet Gynecol. 2020 Jul;223(1):9-11. doi: 10.1016/j.ajog.2020.04.020. Epub 2020 Apr 28.

DOI:10.1016/j.ajog.2020.04.020
PMID:32360111
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7194742/
Abstract

Lung ultrasound examination has been demonstrated to be an accurate imaging method to detect pulmonary and pleural conditions. During pregnancy, there is a need for rapid assessment of the maternal lung in patients with suspected coronavirus disease 2019. We report our experience on lung ultrasound examination in the diagnosis of coronavirus disease 2019 pneumonia in a pregnant woman. Typical ultrasound features of this pulmonary pathology, including diffuse hyperechoic vertical artifacts with thickened pleural line and "white lung" with patchy distribution, were observed. We suggest point-of-care lung ultrasound examination as a diagnostic imaging tool in pregnant women with suspected coronavirus disease 2019.

摘要

肺部超声检查已被证明是一种准确的成像方法,可用于检测肺部和胸膜疾病。在怀孕期间,对于疑似 2019 年冠状病毒病的患者,需要快速评估母体肺部。我们报告了在一名孕妇中诊断 2019 年冠状病毒病肺炎的肺部超声检查经验。观察到这种肺部病理学的典型超声特征,包括弥漫性高回声垂直伪影,伴有增厚的胸膜线和“白肺”,呈斑片状分布。我们建议在疑似 2019 年冠状病毒病的孕妇中使用即时护理肺部超声检查作为诊断成像工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f25b/7194742/72de1fa5e3fc/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f25b/7194742/72de1fa5e3fc/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f25b/7194742/72de1fa5e3fc/gr1_lrg.jpg

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J Ultrasound Med. 2020 Jul;39(7):1413-1419. doi: 10.1002/jum.15285. Epub 2020 Apr 13.
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Ultrasound Obstet Gynecol. 2020 May;55(5):593-598. doi: 10.1002/uog.22028.
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Can Lung US Help Critical Care Clinicians in the Early Diagnosis of Novel Coronavirus (COVID-19) Pneumonia?
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