摘要
目的探讨重型及危重型新型冠状病毒肺炎(COVID-19)患者床旁肺超声特征。方法对2020年2月至3月华中科技大学同济医学院附属协和医院收治的31例重型、25例危重型COVID-19患者行床旁肺超声检查,分析其超声声像图特征。结果56例患者均探及异常肺超声征象:(1)54例(96.4%)患者有不同程度B线增多,14例(25.0%)伴有胸膜线异常;(2)48例(85.7%)出现不同程度肺实变,实变主要位于后肺区;(3)9例(16.1%)可见胸腔积液;(4)危重型COVID-19组肺超声积分高于重型组。结论重型及危重型COVID-19患者肺超声特征可为病情评估提供重要信息。
Objective To explore the features of bedside lung ultrasound images of severe and critical COVID-19.MethodsBedside lung ultrasound was performed on 31 severe and 25 critical COVID-19 cases who were admitted in Union Hospital of Tongji Medical College of Huazhong University of Science and Technology from February to March 2020,and the manifestations were analyzed.Results Abnormal characteristic findings were detected in all the 56 patient,including the following:(1)B lines in a variety of patterns were detected in 54(96.4%)patients,and 14(25.0%)were accompanied by pleural line abnormalities.(2)Different degrees of consolidations were detected in 48(85.7%)patients,mainly in the posterior lung area.(3)Pleural effusion was detected in 9(16.1%)patients.(4)The lung ultrasound score of critical cases was higher than that of severe COVID-19 cases.Conclusion Important information could be provided by the bedside lung ultrasound of severe and critical COVID-19 for evaluation of the disease.
作者
田瑛
王静
孔双双
李虹
谢明星
张丹青
Tian Ying;Wang Jing;Kong Shuangshuang(Department of Ultrasound,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)
出处
《华中科技大学学报（医学版）》
CAS
CSCD
北大核心
2020年第6期716-720,共5页
Acta Medicinae Universitatis Scientiae et Technologiae Huazhong
基金
国家自然科学基金资助项目(No.81771851)。
