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肺部超声在2019冠状病毒病肺炎诊断及监测中的应用:一例报告

Use of lung ultrasound for diagnosis and monitoring of coronavirus disease 2019 pneumonia: A case report.

作者信息

Yun Debo, Cui Yan, Geng Yuan, Yang Yujiao

机构信息

Department of Neurosurgery, Nanchong Central Hospital, Nanchong, China.

Department of Emergency, Affiliated Hospital of North Sichuan Medical College, Nanchong, China.

出版信息

SAGE Open Med Case Rep. 2020 Oct 10;8:2050313X20958915. doi: 10.1177/2050313X20958915. eCollection 2020.

Abstract

Knowledge of lung ultrasound characteristics of coronavirus disease 2019 pneumonia might be useful for early diagnosis and clinical monitoring of patients, and lung ultrasound can help to control the spread of infection in healthcare settings. In this case report, a 36-year-old man with severe acute respiratory syndrome coronavirus 2 infection was diagnosed by reverse transcription-polymerase chain reaction testing of a nasopharyngeal swab. The lung ultrasound findings for this patient were the interstitial-alveolar damage showing bilateral, diffuse pleural line abnormalities, subpleural consolidations, white lung areas and thick, irregular vertical artifacts. When the patient recovered from the severe acute respiratory syndrome coronavirus 2 infection, lung ultrasound images showed a normal pleural line with A-lines regularly reverberating. Performing lung ultrasound at the bedside minimizes the need to move the patient, thus reducing the risk of spreading infection among healthcare staff. Lung ultrasound is useful for early diagnosis and evaluation of the severity of coronavirus disease 2019 pneumonia and for monitoring its progress over the course of the disease.

摘要

了解2019冠状病毒病肺炎的肺部超声特征可能有助于对患者进行早期诊断和临床监测,并且肺部超声有助于控制医疗机构内感染的传播。在本病例报告中,一名36岁的严重急性呼吸综合征冠状病毒2感染男性患者通过鼻咽拭子逆转录-聚合酶链反应检测得以确诊。该患者的肺部超声表现为间质-肺泡损伤,呈现双侧弥漫性胸膜线异常、胸膜下实变、白肺区域以及粗大、不规则的垂直伪像。当该患者从严重急性呼吸综合征冠状病毒2感染中康复时,肺部超声图像显示胸膜线正常,A线规则反射。在床边进行肺部超声检查可最大程度减少移动患者的必要性,从而降低医护人员之间感染传播的风险。肺部超声对于2019冠状病毒病肺炎的早期诊断、病情严重程度评估以及疾病过程中的进展监测均有用处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e963/7550954/84011fc7a11a/10.1177_2050313X20958915-fig1.jpg

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