Department of Pediatric Emergency, Bambino Gesù Children's Hospital IRCCS, Rome, Italy.
Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy; Istituto di Microbiologia, Università Cattolica del Sacro Cuore, Rome, Italy.
Ultrasound Med Biol. 2020 Aug;46(8):2094-2098. doi: 10.1016/j.ultrasmedbio.2020.04.026. Epub 2020 May 3.
Recent evidence indicates the usefulness of lung ultrasound (LUS) in detecting coronavirus disease 19 (COVID-19) pneumonia. However, no data are available on the use of LUS in children with COVID-19 pneumonia. In this report, we describe LUS features of 10 consecutively admitted children with COVID-19 in two tertiary-level pediatric hospitals in Rome. LUS revealed signs of lung involvement during COVID-19 infection. In particular, vertical artifacts (70%), pleural irregularities (60%), areas of white lung (10%) and subpleural consolidations (10%) were the main findings in patients with COVID-19. No cases of pleural effusions were found. According to our experience, the routine use of LUS in the evaluation of children with suspected or confirmed COVID-19, when performed by clinicians with documented experience in LUS, was useful in diagnosing and monitoring pediatric COVID-19 pneumonia, reducing unnecessary radiation/sedation in children and exposure of health care workers to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).
近期证据表明，肺部超声（LUS）在检测 2019 冠状病毒病（COVID-19）肺炎方面具有一定作用。然而，目前尚无关于 LUS 在 COVID-19 肺炎患儿中应用的数据。在本报告中，我们描述了在罗马的两家三级儿科医院连续收治的 10 例 COVID-19 患儿的 LUS 特征。LUS 显示 COVID-19 感染期间肺部受累的迹象。具体而言，垂直伪影（70%）、胸膜不规则（60%）、白肺区域（10%）和肋胸膜下实变（10%）是 COVID-19 患儿的主要发现。未发现胸腔积液。根据我们的经验，当具有 LUS 操作经验的临床医生对疑似或确诊 COVID-19 的患儿常规进行 LUS 检查时，有助于诊断和监测儿科 COVID-19 肺炎，减少儿童不必要的辐射/镇静，降低医护人员暴露于严重急性呼吸综合征冠状病毒 2（SARS-CoV-2）的风险。
