Sacci Peter, Au Arthur, Hutchinson Morgan
Department of Emergency Medicine Thomas Jefferson University Hospital Philadelphia Pennsylvania USA.
J Am Coll Emerg Physicians Open. 2020 Jun 30;1(5):1101-1103. doi: 10.1002/emp2.12181. eCollection 2020 Oct.
Pulmonary ultrasound is a useful tool in the diagnosis and resuscitation of emergency department (ED) patients with dyspnea. We present the case of a patient who was diagnosed with E-cigarette or vaping product use-associated lung injury (EVALI) using pulmonary ultrasound. Many of these cases are diagnosed using x-ray, computerized tomography, or bronchoscopy and to our knowledge this is the first published case that demonstrates utility of ultrasound in diagnosing EVALI. While more investigation is needed on the use of this technique, the patient in this case was diagnosed with EVALI based on positive history, presence of normal cardiac function, non-cardiogenic pulmonary edema on ultrasound, and absence of pulmonary infection.
肺部超声是急诊科（ED）呼吸困难患者诊断和复苏的有用工具。我们报告一例使用肺部超声诊断为电子烟或雾化产品使用相关肺损伤（EVALI）的患者。许多此类病例是通过X线、计算机断层扫描或支气管镜检查诊断的，据我们所知，这是首例证明超声在诊断EVALI中有用性的已发表病例。虽然对该技术的应用还需要更多研究，但该病例中的患者基于阳性病史、心脏功能正常、超声显示非心源性肺水肿以及无肺部感染而被诊断为EVALI。
