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2019冠状病毒病大流行中的床旁超声:一种助力多个专业领域的检查手段

Point of Care Ultrasound in Coronavirus Disease 2019 Pandemic: One Modality Helping Multiple Specialties.

作者信息

Yadav Sangam, Singh Abhishek, Manisha Kalung, Khanna Puneet

机构信息

Department of Anesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India.

出版信息

J Med Ultrasound. 2021 Mar 20;29(1):9-14. doi: 10.4103/JMU.JMU_114_20. eCollection 2021 Jan-Mar.

Abstract

After the detection of novel coronavirus (2019) as the cause of a cluster of pneumonia in Wuhan, China, at the end of 2019, more than 10 million confirmed cases of coronavirus disease 2019 (COVID-19) have been reported around the globe. In the COVID-19 intensive care unit (ICU), the use of stethoscope is minimal for obvious reasons. Shifting of COVID-19 patients out of ICU setup increases the risk of transmission of infection to health-care workers as well as jeopardizes the safety of patients. Hence, diagnostic imaging has emerged as a fundamental component of the current management of COVID-19. Lung ultrasound (LUS) imaging has become a safe bedside imaging alternative that does not expose the patient to radiation and minimizes the risk of contamination. Ultrasound (USG) can be used to scan almost all vital organs (heart, kidney, vascular, brain, etc.) and also help in rapid decision-making regarding the management of COVID-19 patients. In this note, we review the current state of the art of LUS in evaluating pulmonary changes induced by COVID-19. The goal is to identify characteristic sonographic findings most suited for the diagnosis of COVID-19 pneumonia infections as well as to assess the impact of infection on other organs and utilizing the same in the management of COVID patients without compromising on the safety of patient or health-care provider.

摘要

2019年末在中国武汉发现新型冠状病毒(2019)是一组肺炎病例的病因后,全球已报告超过1000万例2019冠状病毒病(COVID-19)确诊病例。在COVID-19重症监护病房(ICU),由于显而易见的原因,听诊器的使用极少。将COVID-19患者转出ICU会增加感染传播给医护人员的风险,同时也危及患者安全。因此,诊断成像已成为当前COVID-19管理的一个基本组成部分。肺部超声(LUS)成像已成为一种安全的床旁成像选择,不会使患者暴露于辐射下,并将污染风险降至最低。超声(USG)可用于扫描几乎所有重要器官(心脏、肾脏、血管、大脑等),也有助于对COVID-19患者的管理做出快速决策。在本笔记中,我们回顾了LUS在评估COVID-19引起的肺部变化方面的当前技术水平。目标是确定最适合诊断COVID-19肺炎感染的特征性超声表现,以及评估感染对其他器官的影响,并在不损害患者或医护人员安全的情况下将其用于COVID患者的管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f98/8081099/6dc9254dd6de/JMU-29-9-g001.jpg

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