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新冠疫情后的肺部超声检查:临床整合的关键节点——应对挑战,把握机遇

Lung Ultrasound After COVID-19: A Pivotal Moment for Clinical Integration-Navigating Challenges and Seizing Opportunities.

作者信息

D'Ardes Damiano, Deana Cristian, Boccatonda Andrea, Biasucci Daniele Guerino, Cipollone Francesco, Castro-Sayat Mauro, Colaianni-Alfonso Nicolás, Gallardo Adrián, Vetrugno Luigi

机构信息

Institute of "Clinica Medica", Department of Medicine and Aging Science, "G. D'Annunzio" University of Chieti-Pescara, 66100 Chieti, Italy.

Department of Anesthesiology, Critical Care Medicine and Emergency, SS. Annunziata Hospital, 66100 Chieti, Italy.

出版信息

Healthcare (Basel). 2025 May 14;13(10):1148. doi: 10.3390/healthcare13101148.

Abstract

Lung ultrasound (LUS) has emerged as a valuable bedside decision-making tool, particularly since the COVID-19 pandemic, with applications in diagnosing pneumonia, managing fluid, and monitoring interstitial lung diseases (ILDs) and acute respiratory distress syndrome (ARDS), ultimately improving patient outcomes. Its repeatability, environmental safety, and reduced radiation exposure make it ideal for vulnerable populations and resource-limited settings. However, challenges such as inadequate documentation and a lack of standardized reporting formats limit its widespread adoption. The evolution of technology offers different possibilities, and improvements in software open up a range of possibilities, but this contrasts with the lack of postgraduate and undergraduate training and formal accreditation. This review addresses the impact of lung ultrasound through the course of air-liquid ratio impairment, crossing different clinical scenarios and exploring the challenges and opportunities for the implementation of lung ultrasound in the post-COVID era.

摘要

肺部超声(LUS)已成为一种有价值的床旁决策工具,尤其是自新冠疫情以来,其应用于诊断肺炎、管理液体以及监测间质性肺疾病(ILDs)和急性呼吸窘迫综合征(ARDS),最终改善患者预后。它的可重复性、环境安全性以及减少辐射暴露使其成为弱势群体和资源有限环境的理想选择。然而,诸如记录不充分和缺乏标准化报告格式等挑战限制了其广泛应用。技术的发展提供了不同的可能性,软件的改进带来了一系列机遇,但这与研究生和本科生培训以及正式认证的缺乏形成了对比。本综述探讨了在气液比受损过程中肺部超声的影响,跨越不同临床场景,并探索了在后新冠时代实施肺部超声的挑战与机遇。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf4c/12110943/1549a2a7b819/healthcare-13-01148-g001.jpg

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