Dept of Respiratory Medicine, Odense University Hospital, Odense, Denmark
Dept of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark.
Eur Respir J. 2021 Mar 4;57(3). doi: 10.1183/13993003.01519-2020. Print 2021 Mar.
Thoracic ultrasound is increasingly considered to be an essential tool for the pulmonologist. It is used in diverse clinical scenarios, including as an adjunct to clinical decision making for diagnosis, a real-time guide to procedures and a predictor or measurement of treatment response. The aim of this European Respiratory Society task force was to produce a statement on thoracic ultrasound for pulmonologists using thoracic ultrasound within the field of respiratory medicine. The multidisciplinary panel performed a review of the literature, addressing major areas of thoracic ultrasound practice and application. The selected major areas include equipment and technique, assessment of the chest wall, parietal pleura, pleural effusion, pneumothorax, interstitial syndrome, lung consolidation, diaphragm assessment, intervention guidance, training and the patient perspective. Despite the growing evidence supporting the use of thoracic ultrasound, the published literature still contains a paucity of data in some important fields. Key research questions for each of the major areas were identified, which serve to facilitate future multicentre collaborations and research to further consolidate an evidence-based use of thoracic ultrasound, for the benefit of the many patients being exposed to clinicians using thoracic ultrasound.
胸腔超声越来越被认为是肺病学家的基本工具。它用于各种临床情况下，包括作为诊断的临床决策的辅助手段、程序的实时指导以及治疗反应的预测或测量。这个欧洲呼吸学会工作组的目的是使用呼吸医学领域内的胸腔超声为肺病学家制定一份关于胸腔超声的声明。多学科小组对文献进行了回顾，涉及胸腔超声的主要应用领域和应用领域。选择的主要领域包括设备和技术、胸壁评估、壁层胸膜、胸腔积液、气胸、间质性综合征、肺实变、膈肌评估、介入指导、培训和患者视角。尽管越来越多的证据支持胸腔超声的使用，但在一些重要领域，发表的文献仍然缺乏数据。为每个主要领域确定了关键研究问题，这些问题有助于促进未来的多中心合作和研究，进一步巩固基于证据的胸腔超声使用，造福于许多接受胸腔超声的临床医生治疗的患者。
