摘要
目的探讨肺部超声在急性呼吸窘迫综合征患者病情严重程度评估中的应用价值。方法选取2017年9月至2018年11月我院接诊的呼吸窘迫综合征患者120例,全部患者均采用了胸部CT、肺部超声检查等检查方法,并根据实际情况制订出了合理的肺部超声评分(LUS)方法,充分结合患者的病情将其分为了重度组(55例)及轻中度组(65例),并按照预后将其分为了生存组(70例)及死亡组(50例)。对比重度组及轻中度组患者肺部超声评分、急性生理学与慢性健康状况评分系统Ⅱ(APACHEⅡ)评分。结果与轻中度组相比,重度组LUS、PEEP评分均明显更高,PaO2/FiO2明显更低,P<0.05,差异具有统计学意义。结论LUS评分在急性呼吸窘迫综合征患者病情严重程度评估中具有较强的指导作用,且实际操作也相对较简单。
Objective To explore the application value of lung ultrasound in the assessment of the severity of patients with acute respiratory distress syndrome.Methods We selected 120 patients with respiratory distress syndrome admitted to our hospital from September 2017 to November 2018.All patients used chest CT,pulmonary ultrasound and other examination methods,and a reasonable lung was drawn up based on the actual situation.Ultrasound scoring(LUS)method,fully combined with the condition of patients,divided them into severe group(55 cases)and mild to moderate group(65 cases),and divided them into survival group(70 cases)and death group(50 cases)according to the prognosis.The lung ultrasound scores,acute physiology and chronic health status scoring system II(APACHE II)scores were compared between the severe group and the mild-to-moderate group.Results Compared with the mild to moderate group,the LUS and PEEP scores of the severe group were significantly higher,PaO2/FiO2 was significantly lower,P<0.05,the difference was statistically significant.Conclusion The LUS score has a strong guiding role in the assessment of the severity of patients with acute respiratory distress syndrome,and the actual operation is relatively simple.
作者
李晓姝
LI Xiaoshu(Department of Ultrsound,Central Hospital Affiliated to Shenyang Medical College Shenyang 110023,China)
出处
《中国医药指南》
2021年第8期91-92,共2页
Guide of China Medicine
关键词
急性呼吸窘迫综合征
肺部超声
严重程度
预后
应用价值
Acute respiratory distress syndrome
Lung ultrasound
Severity
Prognosis
Application value
