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新型冠状病毒肺炎患者肺部超声检查的病理生理背景与临床应用:简要综述

Pathophysiological background and clinical practice of lung ultrasound in COVID-19 patients: A short review.

作者信息

Istvan-Adorjan Szabo, Ágoston Gergely, Varga Albert, Cotoi Ovidiu Simion, Frigy Attila

机构信息

George Emil Palade, University of Medicine, Pharmacy, Science, and Technology of Tagru Mures, Mures-Romania.

Department of Family Medicine, University of Szeged; Szeged-Hungary.

出版信息

Anatol J Cardiol. 2020 Aug;24(2):76-80. doi: 10.14744/AnatolJCardiol.2020.33645.

DOI:10.14744/AnatolJCardiol.2020.33645
PMID:32749247
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7460690/
Abstract

The pathological consequences of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) are multiple, with interstitial pneumonia and consecutive respiratory failure being the most dangerous clinical manifestations. Timely diagnosis and follow-up of pulmonary involvement need a comprehensive imaging strategy, which includes standard chest X-ray, chest computed tomography and lung ultrasound (LUS). In the last 10 years, LUS has become a useful, bedside and easily reproducible tool for lung examination. In the first part of this review, we present the pathophysiological background, technical principles and practical aspects of LUS in patients with SARS-CoV-2 infection. In the second part, the main echographic findings, their interpretation, and the clinical applications of LUS are overviewed. The review ends with the presentation of our work methodology, illustrated with images recorded from COVID-19 patients in our department.

摘要

由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的2019冠状病毒病(COVID-19)的病理后果是多方面的,间质性肺炎和连续性呼吸衰竭是最危险的临床表现。肺部受累的及时诊断和随访需要综合成像策略,包括标准胸部X线、胸部计算机断层扫描和肺部超声(LUS)。在过去10年中,LUS已成为一种有用的、床旁且易于重复的肺部检查工具。在本综述的第一部分,我们介绍了SARS-CoV-2感染患者LUS的病理生理背景、技术原理和实际应用。在第二部分,概述了LUS的主要超声检查结果、解读及其临床应用。综述最后介绍了我们的工作方法,并展示了我们科室COVID-19患者的记录图像。

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Ultrasound assessment of pulmonary fibroproliferative changes in severe COVID-19: a quantitative correlation study with histopathological findings.超声评估重症 COVID-19 肺纤维化增生性改变:与组织病理学发现的定量相关性研究。
Intensive Care Med. 2021 Feb;47(2):199-207. doi: 10.1007/s00134-020-06328-4. Epub 2021 Jan 3.
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Bedside Focused Cardiac Ultrasound in COVID-19 from the Wuhan Epicenter: The Role of Cardiac Point-of-Care Ultrasound, Limited Transthoracic Echocardiography, and Critical Care Echocardiography.COVID-19 患者床边心脏超声检查:心脏即时超声检查、有限经胸超声心动图和重症监护超声心动图的作用。
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Pulmonary Vascular Endothelialitis, Thrombosis, and Angiogenesis in Covid-19.新型冠状病毒肺炎的肺血管内皮细胞炎症、血栓形成和血管生成。
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Acute respiratory failure in COVID-19: is it "typical" ARDS?新型冠状病毒肺炎所致急性呼吸衰竭:是“典型”的急性呼吸窘迫综合征吗?
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