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肺部超声在儿科呼吸系统疾病中的应用价值

Usefulness of Lung Ultrasound in Paediatric Respiratory Diseases.

作者信息

Sansone Francesco, Attanasi Marina, Di Filippo Paola, Sferrazza Papa Giuseppe Francesco, Di Pillo Sabrina, Chiarelli Francesco

机构信息

Paediatric Allergy and Pulmonology Unit, Department of Paediatrics, University of Chieti-Pescara, 66100 Chieti, Italy.

Dipartimento di Scienze della Salute, Università degli Studi di Milano, 20146 Milan, Italy.

出版信息

Diagnostics (Basel). 2021 Sep 28;11(10):1783. doi: 10.3390/diagnostics11101783.

Abstract

Respiratory infection diseases are among the major causes of morbidity and mortality in children. Diagnosis is focused on clinical presentation, yet signs and symptoms are not specific and there is a need for new non-radiating diagnostic tools. Among these, lung ultrasound (LUS) has recently been included in point-of-care protocols showing interesting results. In comparison to other imaging techniques, such as chest X-ray and computed tomography, ultrasonography does not use ionizing radiations. Therefore, it is particularly suitable for clinical follow-up of paediatric patients. LUS requires only 5-10 min and allows physicians to make quick decisions about the patient's management. Nowadays, LUS has become an early diagnostic tool to detect pneumonia during the COVID-19 pandemic. In this narrative review, we show the most recent scientific literature about advantages and limits of LUS performance in children. Furthermore, we discuss the major paediatric indications separately, with a paragraph fully dedicated to COVID-19. Finally, we mention potential future perspectives about LUS application in paediatric respiratory diseases.

摘要

呼吸道感染疾病是儿童发病和死亡的主要原因之一。诊断主要基于临床表现,但症状和体征并不具有特异性,因此需要新的无辐射诊断工具。其中,肺部超声(LUS)最近已被纳入床旁诊断方案,并显示出有趣的结果。与其他成像技术如胸部X线和计算机断层扫描相比,超声检查不使用电离辐射。因此,它特别适合儿科患者的临床随访。LUS仅需5-10分钟,医生可以据此对患者的治疗做出快速决策。如今,LUS已成为在COVID-19大流行期间检测肺炎的早期诊断工具。在这篇叙述性综述中,我们展示了关于LUS在儿童中应用的优势和局限性的最新科学文献。此外,我们分别讨论了主要的儿科适应症,并专门用一段内容论述了COVID-19。最后,我们提到了LUS在儿科呼吸道疾病中应用的潜在未来前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d369/8534634/68821042f4d9/diagnostics-11-01783-g001.jpg

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