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了解患有严重COVID-19的患者使用肺部超声波

Seo-Hee Yang^1,2, Eun Ju Park¹, Jung-Hyun Kim³

¹Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Republic of Korea.

Tuberculosis and respiratory diseases

|January 6, 2025

概括

肺部超声波 (LUS) 可以监测严重的COVID-19幸存者重症监护后的肺部变化. 虽然B线减少,胸膜厚度增加,但LUS与CT纤维化得分没有相关性,这表明其作为补充恢复评估工具的作用.

科学领域:

肺部病理学肺部病理学
放射学放射学是一门学科.
关键护理医学关键护理医学

背景情况:

肺超声波 (LUS) 在评估2019年冠状病毒病 (COVID-19) 的实用性已经确立,但其在检测重症监护后肺纤维化中的作用尚不清楚.
这项研究调查了LUS,用于在出院一个月后在严重的COVID-19幸存者中识别肺部连续症和纤维化样变化.

研究的目的:

用LUS评估严重COVID-19肺炎幸存者的肺部连续和纤维化样变化的存在.
通过门诊随访追踪重症监护室 (ICU) 入院LUS发现的变化.

主要方法:

需要机械通风的严重COVID-19患者的潜在招生.
从ICU入院到门诊的连续LUS评估,使用专有LUS评分系统.
将LUS值与计算机断层扫描 (CT) 纤维化得分的相关性,以评估准确性.

主要成果:

在14名患者中评估了B线的存在,胸腔厚度和巩固.
随着时间的推移,观察到B线 (1.92至0.56,p<0.05) 的显著下降和膜厚度 (2.05至2.48,p≤0.05) 的显著增加.
总体LUS得分的最小变化 (19.1至17.5),LUS和高分辨率CT纤维化得分之间没有发现相关性.

结论:

肺部超声波在重症COVID-19患者的康复过程中有效地跟踪肺部异常变化.
Pleural 加厚和 B 线模式的显著变化被注意到,但 LUS 与 CT 定义纤维化无关.
在严重的COVID-19病例中,LUS显示出作为监测肺部恢复的辅助工具的潜力.

关键词:

急性呼吸道疾病综合征在 COVID-19 疫情中,肺纤维化肺纤维化超声波超声波是指超声波的使用.

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