亚重症监护病房中重症新型冠状病毒肺炎的肺部超声：超越诊断目的

Magnani Elena, Mattei Luca, Paolucci Elisa, Magalotti Giovanni, Giacalone Nicoletta, Praticò Chiara, Praticò Beniamino, Zani Maria Cristina

Division of Respiratory Sub-Intensive Care, Internal Medicine Unit, M. Bufalini Hospital, Cesena, Italy.

Emergency Care Unit, S. Maria Della Scaletta Hospital, Imola, Italy.

Respir Med Case Rep. 2020;31:101307. doi: 10.1016/j.rmcr.2020.101307. Epub 2020 Nov 27.

Lung Ultra-Sound (LUS) can be very helpful at the diagnostic stage of COVID-19 pneumonia. We describe four clinical cases that summarize other helpful employment of LUS during the management of severe COVID-19 pneumonia with lung failure. LUS, together with clinical signs and arterial blood gases values, assists in guiding prompt clinical management of potential worsening of conditions. The monitoring of size and signs of aeration of consolidations is an important adjuvant in evaluating clinical evolution. The monitoring of LUS patterns can guide the management of non-invasive ventilation as well as the timing of CPAP weaning.

肺部超声（LUS）在新型冠状病毒肺炎（COVID-19）的诊断阶段可能非常有用。我们描述了4例临床病例，总结了LUS在重症COVID-19肺炎合并呼吸衰竭的治疗过程中的其他有用应用。LUS与临床体征和动脉血气值一起，有助于指导对病情潜在恶化的及时临床管理。监测实变的大小和充气征是评估临床进展的重要辅助手段。LUS模式的监测可指导无创通气的管理以及持续气道正压通气（CPAP）撤机的时机。