Division of Emergency Medicine, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Medicina d'Urgenza e Pronto Soccorso, Policlinico Sant'Orsola-Malpighi, Azienda Ospedaliero-Universitaria di Bologna, Via Pietro Albertoni, 15, 40138, Bologna, BO, Italy.
J Ultrasound. 2021 Jun;24(2):115-123. doi: 10.1007/s40477-021-00575-x. Epub 2021 Apr 13.
A first screening by ultrasound can be relevant to set a specific diagnostic and therapeutic route for a patient with a COVID-19 infection. The finding of bilateral B-lines and white lung areas with patchy peripheral distribution and sparing areas is the most suggestive ultrasound picture of COVID-19 pneumonia. Failure to detect bilateral interstitial syndrome (A pattern) on ultrasound excludes COVID-19 pneumonia with good diagnostic accuracy, but does not exclude current infection. The use of shared semiotic and reporting schemes allows the comparison and monitoring of the COVID-19 pulmonary involvement over time. This review aims to summarise the main data on pulmonary ultrasound and COVID-19 to provide accurate and relevant information for clinical practice.
超声初步筛查对于 COVID-19 感染患者确定特定的诊断和治疗路径具有重要意义。出现双侧 B 线和斑片状周边分布、肺野保留的“白肺”区是 COVID-19 肺炎最具提示性的超声表现。未能在超声上发现双侧间质性综合征（A 型模式）可很好地排除 COVID-19 肺炎，但不能排除当前感染。使用共享的征象和报告方案可比较和监测 COVID-19 肺部受累随时间的变化。本文旨在总结肺部超声在 COVID-19 中的主要数据，为临床实践提供准确和相关的信息。
