改良肺超声评分用于改善体外膜肺氧合（ECMO）上的急性肺损伤后呼吸窘迫综合征（pARDS）监测：一例报告
Modified lung ultrasound score for improved monitoring of pARDS on ECMO, a case report.
作者信息
Küng E, Aichhorn L, Di Nardo M, Cardona F, Berger A, Milos R I, Watzenböck M, Brandt J B
机构信息
Division of Neonatology, Pediatric Intensive Care & Neuropediatrics, Department of Pediatrics and Adolescent Medicine, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria.
Pediatric Intensive Care, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
出版信息
BMC Pediatr. 2025 Jan 16;25(1):36. doi: 10.1186/s12887-024-05308-7.
BACKGROUND
Lung ultrasound scoring is a validated tool for assessing lung pathology. However, existing scoring systems typically overlook the size of consolidations, limiting their accuracy in certain clinical scenarios.
CASE PRESENTATION
We describe the first application of adding the maximum consolidation depth in centimeters (cm) to the conventional score. This modification (LUS+) was used in an eight-month-old patient with severe respiratory failure undergoing extracorporeal life support (ECLS). Spearman's correlation analysis revealed a similar correlation in LUS+ compared to conventional lung ultrasound score. Importantly, LUS + showed improvement following cessation of lung rest on day 5, preceding the changes observed in conventional lung ultrasound scores and tidal volume measurements on day 9.
CONCLUSIONS
The integration of consolidation depth, quantified in centimeters, represents a valuable refinement of the conventional lung ultrasound score, enhancing its utility in monitoring pediatric acute respiratory distress patients undergoing ECLS.
背景
肺部超声评分是评估肺部病理状况的一种有效工具。然而，现有的评分系统通常忽略了实变的大小，限制了它们在某些临床场景中的准确性。
病例介绍
我们描述了首次将以厘米（cm）为单位的最大实变深度添加到传统评分中的应用。这种改进（LUS+）用于一名接受体外生命支持（ECLS）的8个月大严重呼吸衰竭患者。与传统肺部超声评分相比，Spearman相关性分析显示LUS+具有相似的相关性。重要的是，在第5天停止肺休息后，LUS+显示出改善，早于第9天传统肺部超声评分和潮气量测量中观察到的变化。
结论
以厘米为单位量化的实变深度的整合是对传统肺部超声评分的一项有价值的改进，提高了其在监测接受ECLS的儿科急性呼吸窘迫患者中的效用。
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