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肺部超声用于急性肺损伤的早期诊断:一例病例报告。

Lung ultrasound for the early diagnosis of acute lung injury: A case report.

作者信息

Zheng Xin, Liu Na

机构信息

Department of Anesthesiology, The Second Hospital of Dalian Medical University, Dalian 116027, Liaoning Province, China.

出版信息

World J Clin Cases. 2023 Nov 16;11(32):7900-7904. doi: 10.12998/wjcc.v11.i32.7900.

Abstract

BACKGROUND

The extensive availability of ultrasound (US) technology has increased its use for point-of-care applications in many health care settings. During anaesthesia and surgery, acute respiratory failure or pulmonary oedema are common life-threatening events that, if not recognized and treated appropriately, result in a high mortality rate.

CASE SUMMARY

We report a patient under anaesthesia whose lung US examination showed multiple vertical artefacts (B-lines) in the lung tissue, indicating pulmonary oedema. The respiratory state improved with the resolution of the pulmonary oedema after our treatment.

CONCLUSION

We believe that US of the lungs may be a useful tool for dynamic respiratory monitoring at the bedside during anaesthesia.

摘要

背景

超声(US)技术的广泛应用增加了其在许多医疗环境中用于床旁检查的频率。在麻醉和手术期间,急性呼吸衰竭或肺水肿是常见的危及生命的事件,如果不能得到及时识别和适当治疗,将导致高死亡率。

病例摘要

我们报告了一名麻醉患者,其肺部超声检查显示肺组织中有多个垂直伪像(B线),提示肺水肿。经过我们的治疗,随着肺水肿的消退,呼吸状态得到改善。

结论

我们认为肺部超声可能是麻醉期间床旁动态呼吸监测的有用工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2821/10698435/13c91d646b6f/WJCC-11-7900-g001.jpg

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