1例床边超声对COVID-19患者肺功能恢复的预测。

Case Reports in Emergency Medicine Pub Date : 2021-01-23 eCollection Date: 2021-01-01 DOI:10.1155/2021/8847887
Kathryn B Bartlett, Lexis T Laubach, Elizabeth M Evans, Kevin R Roth
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摘要

介绍。抗击COVID-19的斗争对该病的临床表现、病程、诊断和治疗提出了一些问题。本案例研究介绍了一名感染COVID-19的患者,并通过进一步的研究表明,床边超声可用于诊断疾病的严重程度,并可能预测肺功能恢复,而无需使用不必要的资源并使额外的医疗保健专业人员暴露于感染。病例报告。一名46岁男性以咳嗽、发烧和呼吸短促就诊于急诊科。胸部x线显示双侧空域斑片状混浊。快速检测结果为SARS-CoV-2阳性。床边超声显示肺实质异常,弥漫性彗星尾伪影,符合间质性肺水肿。经过长时间插管后,患者的异常肺部超声检查结果得到解决。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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A Case of Bedside Ultrasound in COVID-19 to Prognosticate Functional Lung Recovery.

Introduction. The fight against COVID-19 poses questions as to the clinical presentation, course, diagnosis, and treatment of the condition. This case study presents a patient infected with COVID-19 and suggests with additional research, that bedside ultrasound may be used to diagnose severity of disease and potentially, prognosticate functional lung recovery without using unnecessary resources and exposing additional healthcare professionals to infection. Case Report. A 46-year-old male presented to the emergency department (ED) with cough, fever, and shortness of breath. Chest X-ray showed patchy airspace opacities bilaterally. Rapid testing resulted positive for SARS-CoV-2. Bedside ultrasound showed abnormal lung parenchyma, with diffuse comet tail artifacts, consistent with interstitial pulmonary edema. Following a prolonged intubation, patient's abnormal lung ultrasound findings are resolved.

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