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肺部超声对慢性心力衰竭患者肺淤血的检测价值。

Clinical value of pulmonary congestion detection by lung ultrasound in patients with chronic heart failure.

机构信息

Department of Cardiology, Xiangtan Central Hospital, Xiangtan, China.

Center of Cooperative Postgraduate Cultivation in Xiangtan Central Hospital, University of South China, Xiangtan, China.

出版信息

Clin Cardiol. 2021 Nov;44(11):1488-1496. doi: 10.1002/clc.23738. Epub 2021 Oct 1.

DOI:10.1002/clc.23738
PMID:34599512
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8571545/
Abstract

Chronic heart failure is one of the common causes of hospitalization and death. Pulmonary congestion is the common disease feature of patients with chronic heart failure, which could be correctly diagnosed by lung ultrasound. Efficacy of lung ultrasound-guided pulmonary congestion management for patients with acute heart failure is well documented, however, more evidence is needed to establish the clinical value of pulmonary congestion detection by lung ultrasound examination in patients with chronic heart failure. This review summarized current evidence related to the use and clinical value of pulmonary congestion assessment by lung ultrasound in patients with chronic heart failure, aiming to provide new suggestions on promoting the widespread use of lung ultrasound in patients with chronic heart failure to improve the quality of life and outcome of patients with chronic heart failure.

摘要

慢性心力衰竭是住院和死亡的常见原因之一。肺淤血是慢性心力衰竭患者的常见疾病特征,可通过肺部超声正确诊断。肺部超声指导急性心力衰竭患者肺淤血管理的疗效已有充分的证据,但仍需要更多证据来确定肺部超声检查在慢性心力衰竭患者中检测肺淤血的临床价值。本综述总结了目前与慢性心力衰竭患者肺部超声评估肺淤血应用和临床价值相关的证据,旨在为促进肺部超声在慢性心力衰竭患者中的广泛应用提供新的建议,以提高慢性心力衰竭患者的生活质量和预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69ad/8571545/183fb4a0db8f/CLC-44-1488-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69ad/8571545/af7f6bed32c1/CLC-44-1488-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69ad/8571545/183fb4a0db8f/CLC-44-1488-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69ad/8571545/af7f6bed32c1/CLC-44-1488-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69ad/8571545/183fb4a0db8f/CLC-44-1488-g002.jpg

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本文引用的文献

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Lung Ultrasound-Guided Emergency Department Management of Acute Heart Failure (BLUSHED-AHF): A Randomized Controlled Pilot Trial.肺部超声引导的急性心力衰竭急诊科管理(BLUSHED-AHF):一项随机对照的初步试验。
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A-lines and B-lines in patients with acute heart failure.急性心力衰竭患者的A线和B线
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Prognostic Significance of Lung and Cava Vein Ultrasound in Elderly Patients Admitted for Acute Heart Failure: PROFUND-IC Registry Analysis.肺部及腔静脉超声对急性心力衰竭老年住院患者的预后意义:PROFUND-IC注册研究分析
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Impact of B-lines-guided intensive heart failure management on outcome of discharged heart failure patients with residual B-lines.B 线引导的强化心力衰竭管理对出院心力衰竭伴残余 B 线患者结局的影响。
ESC Heart Fail. 2022 Aug;9(4):2713-2718. doi: 10.1002/ehf2.13988. Epub 2022 May 20.
肺部超声对住院心脏病患者(无论症状和射血分数如何)的预后价值。
ESC Heart Fail. 2021 Aug;8(4):2660-2669. doi: 10.1002/ehf2.13206. Epub 2021 May 1.
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Developing and using a smartphone-app to support the teaching of technical basics for 3D/4D obstetrical ultrasound applications in medical education.开发并使用一款智能手机应用程序,以支持医学教育中3D/4D产科超声应用技术基础的教学。
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