Veterinary Emergency and Critical Care, Department of Veterinary Clinical and Diagnostic Sciences, University of Calgary, 11877 85 Street NW, Calgary, AB T3R 1J3, USA.
Vet Clin North Am Small Anim Pract. 2021 Nov;51(6):1153-1167. doi: 10.1016/j.cvsm.2021.07.003. Epub 2021 Sep 9.
A sonographic diagnosis of pneumothorax (PTX) traditionally relies on excluding the presence of lung sliding, lung pulse, and/or B lines/lung consolidations, and identifying the lung point. However, these criteria can be difficult to identify, particularly in critically ill patients with respiratory disorders, and the lung point is infrequently used. Newer sonographic findings, such as mirrored ribs, reverse lung sliding, and abnormal curtain signs, have been identified to try to increase the accuracy of diagnosing PTX. This article describes and discusses the lung ultrasonography criteria used to diagnose PTX in both human and small animal patients.
气胸(PTX)的超声诊断传统上依赖于排除肺滑动、肺脉冲和/或 B 线/肺实变的存在,并确定肺点。然而,这些标准在患有呼吸障碍的危重症患者中可能难以识别,并且肺点很少使用。已经发现了一些新的超声表现,例如镜像肋、反向肺滑动和异常幕帘征,试图提高诊断 PTX 的准确性。本文描述并讨论了用于诊断人类和小动物患者 PTX 的肺超声标准。