胸片、肺超声和胸部计算机断层扫描诊断与心力衰竭相关的肺部异常。

IF 1.8 Q3 RESPIRATORY SYSTEM Advances in respiratory medicine Pub Date : 2023-02-23 DOI:10.3390/arm91020010
Dominika Siwik, Wojciech Apanasiewicz, Małgorzata Żukowska, Grzegorz Jaczewski, Marta Dąbrowska
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引用次数: 2

摘要

心力衰竭(HF)是一种多学科疾病,影响全球近1-2%的成年人。心衰患者最常报告的症状包括呼吸困难、咳嗽或运动不耐受,这在许多肺部疾病中也同样常见。与HF相关的肺部变化谱很广。了解这些不同类型的异常对于区分心衰患者与肺部疾病患者或两者兼有至关重要,从而避免不必要的诊断或治疗。在这篇综述中,我们旨在总结最近在三种常用的肺部成像技术:胸部x线(CXR)、肺部超声(LUS)和胸部计算机断层扫描(CT)中与HF相关的肺部异常谱的研究。我们讨论了上述研究中最常见的异常,并结合HF的连续病理生理阶段进行了分析:(1)再分布,(2)间质性水肿,(3)肺泡性水肿。最后,我们比较了这些成像工具在临床环境中的效用。综上所述,我们认为LUS具有高灵敏度、可重复性和可及性,是最有前途的成像技术。然而,CXR和胸部CT的价值在于它们建立鉴别诊断的潜力。
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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Diagnosing Lung Abnormalities Related to Heart Failure in Chest Radiogram, Lung Ultrasound and Thoracic Computed Tomography.

Heart failure (HF) is a multidisciplinary disease affecting almost 1-2% of the adult population worldwide. Symptoms most frequently reported by patients suffering from HF include dyspnoea, cough or exercise intolerance, which is equally often observed in many pulmonary diseases. The spectrum of lung changes related to HF is wide. The knowledge of different types of these abnormalities is essential to distinguish patients with HF from patients with lung diseases or both disorders and thus avoid unnecessary diagnostics or therapies. In this review, we aimed to summarise recent research concerning the spectrum of lung abnormalities related to HF in three frequently used lung imaging techniques: chest X-ray (CXR), lung ultrasound (LUS) and chest computed tomography (CT). We discussed the most prevalent abnormalities in the above-mentioned investigations in the context of consecutive pathophysiological stages identified in HF: (i) redistribution, (ii) interstitial oedema, and (iii) alveolar oedema. Finally, we compared the utility of these imaging tools in the clinical setting. In conclusion, we consider LUS the most useful and promising imaging technique due to its high sensitivity, repeatability and accessibility. However, the value of CXR and chest CT is their potential for establishing a differential diagnosis.

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来源期刊
Advances in respiratory medicine
Advances in respiratory medicine RESPIRATORY SYSTEM-
CiteScore
2.60
自引率
0.00%
发文量
90
期刊介绍: "Advances in Respiratory Medicine" is a new international title for "Pneumonologia i Alergologia Polska", edited bimonthly and addressed to respiratory professionals. The Journal contains peer-reviewed original research papers, short communications, case-reports, recommendations of the Polish Respiratory Society concerning the diagnosis and treatment of lung diseases, editorials, postgraduate education articles, letters and book reviews in the field of pneumonology, allergology, oncology, immunology and infectious diseases. "Advances in Respiratory Medicine" is an open access, official journal of Polish Society of Lung Diseases, Polish Society of Allergology and National Research Institute of Tuberculosis and Lung Diseases.
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