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肺部超声与CT对新型冠状病毒肺炎肺损伤的评估:优与劣

李莉 张丽娜 中国重症超声研究组

李莉, 张丽娜, 中国重症超声研究组. 肺部超声与CT对新型冠状病毒肺炎肺损伤的评估:优与劣[J]. 协和医学杂志, 2020, 11(5): 514-517. doi: 10.3969/j.issn.1674-9081.2020.05.003
引用本文: 李莉, 张丽娜, 中国重症超声研究组. 肺部超声与CT对新型冠状病毒肺炎肺损伤的评估:优与劣[J]. 协和医学杂志, 2020, 11(5): 514-517. doi: 10.3969/j.issn.1674-9081.2020.05.003
Li LI, Li-na ZHANG, Chinese Critical Ultrasound Study Group. Lung Ultrasound and CT Assessment of Lung Injury in COVID-19: Which One is Better[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(5): 514-517. doi: 10.3969/j.issn.1674-9081.2020.05.003
Citation: Li LI, Li-na ZHANG, Chinese Critical Ultrasound Study Group. Lung Ultrasound and CT Assessment of Lung Injury in COVID-19: Which One is Better[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(5): 514-517. doi: 10.3969/j.issn.1674-9081.2020.05.003

肺部超声与CT对新型冠状病毒肺炎肺损伤的评估:优与劣

doi: 10.3969/j.issn.1674-9081.2020.05.003
基金项目: 

北京重症超声协会重症超声专项基金 202001

详细信息
    通讯作者:

    张丽娜  电话:0731-84327095,E-mail: zln7095@163.com

  • 中图分类号: R563.1+3; R445.1

Lung Ultrasound and CT Assessment of Lung Injury in COVID-19: Which One is Better

More Information
    Corresponding author: ZHANG Li-na  Tel:86-731-84327095, E-mail: zln7095@163.com
  • 摘要: 肺部CT是新型冠状病毒肺炎(以下简称“新冠肺炎”)暴发初期最主要的筛查手段和分级诊疗依据,是肺部损伤影像学诊断的金标准。随新冠肺炎病情进展,患者肺部CT呈现不同的病变范围与类型。肺部超声与CT相一致,随病程发展呈特征性表现。与肺部CT相比,肺部超声检查具有床旁便捷、无创等优点,减少了院内传染和转运风险,且其有助于快速鉴别呼吸衰竭的病因,实现连续动态监测,指导呼吸机参数设置、肺复张、俯卧位治疗等,在急危重症新冠肺炎的救治过程中发挥无可替代的作用。另一方面,肺部超声在探测远离胸膜病变、辨别过度通气、操作者依赖方面亦有其局限性。本文对肺部超声与CT的优劣势进行梳理,临床医师在实践过程中应取长补短,以促进新冠肺炎患者的精准诊治。
    利益冲突:无
  • 图  1  一例新冠肺炎患者的典型肺部超声声像(A、B、C、D)和CT(E)影像图

    A.右肺前侧超声表现正常,对应的CT(E①)显示正常通气;B.右肺背侧超声显示少量液暗区及小片实变,对应的CT(E②)显示胸腔积液及肺实性病灶;C.左肺前外侧超声显示为多发局灶(△)和弥漫融合(□)的B模式,对应的CT(E③)为片状渗出;D.左肺背侧超声显示为微量液暗区、胸膜线不规则(○)及多发B模式, 对应CT(E④)为微量胸腔积液及少量渗出病灶

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出版历程
  • 收稿日期:  2020-07-06
  • 刊出日期:  2020-09-30

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