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肺炎中的肺部超声:有效实施指南

Lung ultrasound in pneumonia: a guide for effective implementation.

作者信息

Kok Bram, Tuinman Pieter R, Haaksma Mark E

机构信息

Department of Internal Medicine, Radboud University Medical Center, Nijmegen, the Netherlands.

Department of Intensive Care, Amsterdam University Medical Center, Amsterdam, the Netherlands.

出版信息

Intern Emerg Med. 2025 Mar;20(2):357-367. doi: 10.1007/s11739-024-03807-0. Epub 2024 Dec 10.

Abstract

In patients with pneumonia, lung ultrasound is a useful diagnostic and monitoring tool and has been proven to be superior to physical examination and chest X-ray in terms of feasibility and diagnostic accuracy. Guidelines do not address lung ultrasound as part of the diagnostic workup or as monitoring tool which is surprising. This article provides a succinct overview on the currently available evidence on efficacy and utility of lung ultrasound in patients with a clinical suspicion of pneumonia. Various clinical settings are considered, in addition to limitations, pitfalls and advanced techniques. The aim of this paper is to equip the clinician with the necessary knowledge to maximize lung ultrasound in pneumonia as effective diagnostic and monitoring tool.

摘要

对于肺炎患者,肺部超声是一种有用的诊断和监测工具,并且已被证明在可行性和诊断准确性方面优于体格检查和胸部X光检查。令人惊讶的是,指南并未将肺部超声作为诊断检查的一部分或监测工具提及。本文简要概述了目前有关临床怀疑肺炎患者肺部超声有效性和实用性的现有证据。除了局限性、陷阱和先进技术外,还考虑了各种临床情况。本文的目的是使临床医生具备必要的知识,以最大限度地发挥肺部超声在肺炎诊断和监测中的有效作用。

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