危重病人肺部超声

Jinwoo Lee
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引用次数: 4

摘要

肺超声(LUS)是重症医师诊断和监测危重患者胸部疾病的新兴工具。它很容易在床边实时应用,并且没有辐射危害。在重症监护病房(icu),肺超声可用于诊断气胸和间质综合征。它还可以用来监测肺部的变化。然而,LUS的主要局限性在于它高度依赖于手术操作者,不能用于胸椎敷料、皮下肺气肿或胸膜钙化的患者。本文综述了肺超声的基本原理,并讨论了它在icu中的应用。
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Lung Ultrasound in Critically Ill Patients
Lung ultrasound (LUS) is an emerging tool for intensivists to diagnose and monitor thoracic diseases of critically ill patients. It is easily applied at the bedside in real time and is free of radiation hazards. In the intensive care units (ICUs) lung ultrasound can be used to diagnose pneumothorax and interstitial syndrome. It can also be used to monitor changes in the lung. However, the major limitations of LUS is that it is highly operator dependent and cannot be applied in patients with thoracic dressings, subcutaenous emphysema or pleural calcifications. This article reviews the basic principles of lung ultrasound and discusses how it can be used in ICUs.
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