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即时超声在新型冠状病毒肺炎评估中的应用

Point-of-Care Ultrasound in the Evaluation of COVID-19.

作者信息

Abrams Eric R, Rose Gabriel, Fields J Matthew, Esener Dasia

机构信息

Emergency Ultrasound, Kaiser-Permanente San Diego, San Diego, California.

Jefferson Health Design Lab, Thomas Jefferson University, Philadelphia, Pennsylvania.

出版信息

J Emerg Med. 2020 Sep;59(3):403-408. doi: 10.1016/j.jemermed.2020.06.032. Epub 2020 Jun 12.

Abstract

BACKGROUND

The novel coronavirus SARS-CoV-2 has caused a pandemic, overwhelming health care systems around the world. Hospitals around the world, including the United States, have been struggling to adapt to the influx of patients with COVID-19, the illness caused by SARS-CoV2, given limited resources and high demand for medical care.

OBJECTIVES

This article seeks to provide emergency physicians with a guide to sonographic findings in COVID-19 and an algorithm by which point-of-care lung ultrasound may assist emergency physicians caring for these patients during the SARS-CoV-2 pandemic.

DISCUSSION

The studies currently being published have established a typical set of ultrasound findings in COVID-19. Point-of-care lung ultrasound is rapid and accessible in most emergency departments in the United States, and even in many resource-poor settings.

CONCLUSION

Point-of-care ultrasound provides numerous benefits to emergency providers caring for patients with COVID-19, including decreasing resource utilization, assisting in diagnosis, guiding management of the critically ill patient, and aiding in rapid triage of patients under investigations for COVID-19.

摘要

背景

新型冠状病毒SARS-CoV-2已引发全球大流行,使世界各地的医疗系统不堪重负。包括美国在内的世界各地医院,鉴于资源有限且医疗需求高涨,一直在努力应对因SARS-CoV-2引发的COVID-19患者大量涌入的情况。

目的

本文旨在为急诊医生提供一份关于COVID-19超声检查结果的指南,以及一种即时超声检查算法,在SARS-CoV-2大流行期间,即时超声检查可协助急诊医生护理这些患者。

讨论

目前发表的研究已确定了COVID-19典型的超声检查结果集。在美国的大多数急诊科,甚至在许多资源匮乏地区,即时超声检查都快速且易于操作。

结论

即时超声检查为护理COVID-19患者的急诊医护人员带来诸多益处,包括减少资源利用、协助诊断、指导重症患者的管理以及帮助对接受COVID-19调查的患者进行快速分诊。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acf0/7290172/783e5cdc4084/gr1_lrg.jpg

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