Department of Emergency Medicine, Shifa International Hospital, Islamabad.
Department of Pathology, Poonch Medical College, Azad Kashmir, Pakistan.
J Pak Med Assoc. 2021 Oct;71(10):2423-2425. doi: 10.47391/JPMA.03-453.
To determine the diagnostic accuracy of lung ultrasound and chest X-ray in diagnosing Acute Pulmonary Oedema in patients presenting with acute dyspnoea in emergency department, a study was conducted at the emergency department of Shifa International Hospital, Islamabad, from July 31, 2018 to January 31, 2019. A total of 225 patients presenting with dyspnoea and satisfying the inclusion criteria were assessed through clinical examination, lung ultrasound (LUS) and chest X-ray. The results of chest X-ray and lung ultrasound were compared with clinical diagnosis. The study revealed sensitivity of chest X-ray and LUS (60.16% versus 91.05%), specificity (66.67% versus 91.18%), positive predictive value (68.52% versus 92.56%) and the negative predictive values (58.12% versus 89.42%) respectively. The present study revealed that the LUS has better accuracy than chest X-ray for diagnosis of acute pulmonary oedema.
为了确定在急诊科出现急性呼吸困难的患者中，肺部超声和胸部 X 线在诊断急性肺水肿方面的诊断准确性，本研究于 2018 年 7 月 31 日至 2019 年 1 月 31 日在伊斯兰堡 Shifa 国际医院的急诊科进行。共有 225 名出现呼吸困难且符合纳入标准的患者通过临床检查、肺部超声（LUS）和胸部 X 线进行评估。将胸部 X 线和肺部超声的结果与临床诊断进行比较。研究显示胸部 X 线和 LUS 的灵敏度分别为 60.16%和 91.05%，特异性分别为 66.67%和 91.18%，阳性预测值分别为 68.52%和 92.56%，阴性预测值分别为 58.12%和 89.42%。本研究表明，LUS 在诊断急性肺水肿方面比胸部 X 线具有更高的准确性。
