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改良的BLUE方案超声检查可通过正常的肺部超声诊断COVID-19的血栓形成并发症。

Modified BLUE protocol ultrasonography can diagnose thrombotic complications of COVID-19 with normal lung ultrasound.

作者信息

Zaalouk Tamer Mohamed, Bitar Zouheir Ibrahim, Maadarani Ossama Sajeh, Ragab Elshabasy Ragab Desouky

机构信息

Critical Care Unit Ahamdi Hospital Kuwait Oil Company Ahmadi Kuwait.

Critical Care Unit Ahmadi Hospital Kuwait Oil Company Ahmadi Kuwait.

出版信息

Clin Case Rep. 2021 Mar 28;9(5):e04075. doi: 10.1002/ccr3.4075. eCollection 2021 May.

DOI:10.1002/ccr3.4075
PMID:34084496
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8142407/
Abstract

The BLUE protocol provides an excellent step-by-step approach for diagnosis of acute dyspnea. Adding FECHO (Focused Echocardiography) to the BLUE protocol completes the picture and helps make solid diagnoses, especially in submassive and massive PE (Pulmonary embolism). COVID-19 infection can present with thrombotic manifestations like DVT (Deep vein thrombosis) and PE with no ultrasonographic evidence of lung parenchymal affection.

摘要

BLUE方案为急性呼吸困难的诊断提供了出色的分步方法。在BLUE方案中加入FECHO(聚焦超声心动图)能完善诊断情况,有助于做出可靠诊断,尤其是在亚大面积和大面积肺栓塞(PE)的诊断中。新型冠状病毒肺炎(COVID-19)感染可能表现出如深静脉血栓形成(DVT)和肺栓塞等血栓形成表现,且无肺实质受累的超声证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/293d/8142407/cbfccf5eeabd/CCR3-9-e04075-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/293d/8142407/521dd1cb0268/CCR3-9-e04075-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/293d/8142407/de487f0e5150/CCR3-9-e04075-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/293d/8142407/ae36d1cae16f/CCR3-9-e04075-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/293d/8142407/3b42ec9ba4a3/CCR3-9-e04075-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/293d/8142407/cbfccf5eeabd/CCR3-9-e04075-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/293d/8142407/521dd1cb0268/CCR3-9-e04075-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/293d/8142407/de487f0e5150/CCR3-9-e04075-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/293d/8142407/ae36d1cae16f/CCR3-9-e04075-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/293d/8142407/3b42ec9ba4a3/CCR3-9-e04075-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/293d/8142407/cbfccf5eeabd/CCR3-9-e04075-g006.jpg

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White lung with milky effusion.白色肺伴乳状积液。
Clin Case Rep. 2020 Aug 9;8(12):2557-2560. doi: 10.1002/ccr3.3207. eCollection 2020 Dec.
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Point-of-Care Ultrasound Can Suggest COVID-19.床旁超声可提示新型冠状病毒肺炎。
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Point-of-care Ultrasound Diagnosis of Pulmonary Embolism with Thrombus in Transit.即时超声诊断伴有移动血栓的肺栓塞
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Chylothorax.乳糜胸
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