Lepri Gemma, Orlandi Martina, Lazzeri Chiara, Bruni Cosimo, Hughes Michael, Bonizzoli Manuela, Wang Yukai, Peris Adriano, Matucci-Cerinic Marco
Division of Rheumatology, Department of Experimental and Clinical Medicine, Università degli Studi di Firenze, Firenze, Toscana, Italy.
Department of Emergency, Intensive Care Unit and Regional ECMO Referral Centre, Azienda Ospedaliero Universitaria Careggi, Florence, Italy.
Eur J Rheumatol. 2020 Aug;7(Suppl 2):S129-S133. doi: 10.5152/eurjrheum.2020.2063. Epub 2020 May 7.
In the last decades lung ultrasound (LUS) has become of crucial importance in the evaluation and monitoring of a widely range of pulmonary diseases. One of the major benefits which favours this examination, is that this is a non-invasive, low-cost and radiation-free imaging modality which allows repeated imaging. LUS plays an important role in a wide range of pathologies, including cardiogenic oedema, acute respiratory distress syndrome and fibrosis. Specific LUS findings have proved useful and predictive of acute respiratory distress syndrome which is of particular relevance in the suspicion and monitoring of patients with lung disease. Furthermore, several studies have confirmed the role of LUS in the screening of interstitial lung diseases in connective tissue diseases. Given these data, LUS will likely play an important role in the management of COVID-19 patients from identification of specific abnormalities corresponding to definite pneumonia phases and CT scans findings. In addition, LUS could allow reduction in the exposure of health-care workers to potential infection. Herein, we provide a summary on emerging role of lung ultrasound in COVID-19 pneumonia.
在过去几十年中,肺部超声(LUS)在评估和监测多种肺部疾病方面变得至关重要。支持这项检查的主要优势之一在于,它是一种无创、低成本且无辐射的成像方式,能够进行重复成像。LUS在多种病症中发挥着重要作用,包括心源性水肿、急性呼吸窘迫综合征和肺纤维化。特定的LUS表现已被证明对急性呼吸窘迫综合征具有诊断价值和预测作用,这在肺部疾病患者的疑似诊断和监测中尤为重要。此外,多项研究证实了LUS在结缔组织病所致间质性肺疾病筛查中的作用。鉴于这些数据,LUS可能在COVID-19患者的管理中发挥重要作用,从识别与明确肺炎阶段相对应的特定异常以及CT扫描结果。此外,LUS可以减少医护人员接触潜在感染的风险。在此,我们总结了肺部超声在COVID-19肺炎中的新作用。