Seibel A, Heinz W, Greim C-A, Weber S
Klinik für Anästhesiologie, Intensiv- und Notfallmedizin, Diakonie Klinikum Jung-Stilling, 57074, Siegen, Deutschland.
Klinik für Innere Medizin II, Helios Klinik Rottweil, Rottweil, Deutschland.
Anaesthesist. 2021 Feb;70(2):146-154. doi: 10.1007/s00101-020-00883-7.
Providing medical care to patients suffering from the coronavirus disease 2019 (COVID-19) pandemic is a major challenge for government healthcare systems around the world. The new coronavirus called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), shows a high organ specificity for the lower respiratory tract. Since there is so far no effective treatment or vaccination against the virus, early diagnostic recognition is of great importance. Due to the specific aspects of the infection, which mainly begins in the peripheral lung parenchyma, lung ultrasonography is suitable as a diagnostic imaging method to identify suspected cases as such in the early stages of the disease. Serial ultrasound examinations on patients with confirmed COVID-19 can promptly detect changes in the affected lung tissue at the bedside. This article summarizes the diagnostic potential of lung ultrasound with respect to screening and therapeutic decision-making in patients with suspected or confirmed SARS-CoV‑2 pneumonia.
为2019冠状病毒病(COVID-19)大流行的患者提供医疗护理是全球政府医疗系统面临的一项重大挑战。新型冠状病毒即严重急性呼吸综合征冠状病毒2(SARS-CoV-2),对下呼吸道表现出高度的器官特异性。由于迄今为止尚无针对该病毒的有效治疗方法或疫苗,早期诊断识别至关重要。鉴于感染的特定方面主要始于外周肺实质,肺部超声作为一种诊断成像方法,适合在疾病早期识别此类疑似病例。对确诊为COVID-19的患者进行系列超声检查可在床边及时检测到受影响肺组织的变化。本文总结了肺部超声在疑似或确诊SARS-CoV-2肺炎患者的筛查及治疗决策方面的诊断潜力。