Department of Pediatric Emergency, Bursa City Hospital, Bursa, Turkey.
Department of Pediatrics, Bursa City Hospital, Bursa, Turkey.
J Clin Ultrasound. 2021 Feb;49(2):85-90. doi: 10.1002/jcu.22947. Epub 2020 Nov 13.
To describe our experience concerning lung ultrasound (LUS) in the pediatric emergency clinic, and to investigate the diagnostic value of LUS in coronavirus disease-2019 (COVID-19).
Patients aged under 18 admitted to the pediatric emergency clinic with suspicion of COVID-19, who underwent point-of-care LUS and from whom COVID-19 reverse transcription polymerase chain reaction (RT-PCR) samples were collected, were included in the study.
Point-of-care LUS was performed on 74 patients in the emergency room. LUS findings were more sensitive than chest X-ray in the early stages of the disease and in mild cases. Involvement was observed at LUS despite RT-PCR being negative in some symptomatic patients with a COVID-19 contact history.
We think that LUS can be beneficial in terms of identifying patients with lung involvement and staging their severity in this new disease in pediatric emergency clinics. The procedure is noninvasive, rapid, reproducible, and low cost, involving simple sterilization. Based on the current literature and our own practical experience, we think that increased use of point-of-care LUS can protect patients from unnecessary radiation and treatment delays during the COVID-19 pandemic.
描述我们在儿科急诊诊所使用肺部超声（LUS）的经验，并探讨 LUS 在 2019 年冠状病毒病（COVID-19）中的诊断价值。
本研究纳入了因疑似 COVID-19 而在儿科急诊诊所接受即时护理 LUS 检查并采集 COVID-19 逆转录聚合酶链反应（RT-PCR）样本的 18 岁以下患者。
在急诊室对 74 名患者进行了即时护理 LUS。与胸部 X 线相比，LUS 在疾病早期和轻症中更敏感。在有 COVID-19 接触史的一些有症状但 RT-PCR 阴性的患者中，尽管 LUS 发现异常，但肺部仍受累。
我们认为，在儿科急诊诊所中，LUS 可以帮助识别肺部受累的患者，并对其严重程度进行分期。该操作具有非侵入性、快速、可重复和低成本的特点，仅需简单的消毒。基于目前的文献和我们的实际经验，我们认为在 COVID-19 大流行期间，增加即时护理 LUS 的使用可以保护患者免受不必要的辐射和治疗延误。
