切换至 "中华医学电子期刊资源库"

中华医学超声杂志(电子版) ›› 2024, Vol. 21 ›› Issue (06) : 634 -637. doi: 10.3877/cma.j.issn.1672-6448.2024.06.014

综述

肺部超声在肺炎诊疗中的临床应用进展
李倩1, 李琴2, 胡才宝3,()   
  1. 1. 310053 杭州,浙江中医药大学第二临床医学院
    2. 321099 金华市人民医院老年医学科
    3. 310013 杭州,浙江医院重症医学科
  • 收稿日期:2024-04-21 出版日期:2024-06-01
  • 通信作者: 胡才宝
  • 基金资助:
    浙江省科技厅"尖兵领雁"重点研发攻关计划(2024C03240)

Clinical application of pulmonary ultrasound in diagnosis and treatment of pneumonia

Qian Li, Qin Li, Caibao Hu()   

  • Received:2024-04-21 Published:2024-06-01
  • Corresponding author: Caibao Hu
引用本文:

李倩, 李琴, 胡才宝. 肺部超声在肺炎诊疗中的临床应用进展[J]. 中华医学超声杂志(电子版), 2024, 21(06): 634-637.

Qian Li, Qin Li, Caibao Hu. Clinical application of pulmonary ultrasound in diagnosis and treatment of pneumonia[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(06): 634-637.

肺炎是由病原微生物、理化因素、药物等多种因素引起的终末气道、肺泡和肺间质的炎症。据2019年全球疾病负担研究数据[1]显示,包括肺炎和毛细支气管炎在内的下呼吸道感染全球患病人数高达4.89亿,其中流行病例1100万例,< 5岁的儿童和> 70岁的老年人是受肺炎影响最为严重的两个群体。目前,胸部CT及胸部X线是诊断肺炎的影像学标准,但由于存在大量的射线暴露以及部分重症患者搬运困难,其在肺炎的动态评估方面并不具备明显优势,肺部超声是未来肺部疾病影像学诊断技术发展的重要方向。Lichtenstein教授最早应用肺部超声诊断肺炎,其敏感度为89%,特异度为94%[2]。近年来,肺部超声检查技术取得了显著进步,并已制定相关的国际肺部超声应用专家共识及指南[3,4]。本文旨在综述肺炎诊疗领域中肺部超声的应用进展。

1
Torres A, Cilloniz C, Niederman MS, et al. Pneumonia [J]. Nat Rev Dis Primers, 2021, 7(1): 25.
2
Lichtenstein DA. Blue-protocol and falls-protocol: Two applications of lung ultrasound in the critically ill [J]. Chest, 2015, 147(6): 1659-1670.
3
Volpicelli G, Elbarbary M, Blaivas M, et al. International evidence-based recommendations for point-of-care lung ultrasound [J]. Intensive Care Med, 2012, 38(4): 577-591.
4
Demi L, Wolfram F, Klersy C, et al. New international guidelines and consensus on the use of lung ultrasound [J]. J Ultrasound Med, 2023, 42(2): 309-344.
5
Yang Y, Wu Y, Zhao W. Comparison of lung ultrasound and chest radiography for detecting pneumonia in children: A systematic review and meta-analysis [J]. Ital J Pediatr, 2024, 50(1): 12.
6
Long L, Zhao HT, Zhang ZY, et al. Lung ultrasound for the diagnosis of pneumonia in adults: A meta-analysis [J]. Medicine (Baltimore), 2017, 96(3): e5713.
7
Sezgin C, Gunalp M, Genc S, et al. Diagnostic value of bedside lung ultrasonography in pneumonia [J]. Ultrasound Med Biol, 2020, 46(5): 1189-1196.
8
Buda N, Hajduk A, Jaworska J, et al. Lung ultrasonography as an accurate diagnostic method for the diagnosis of community-acquired pneumonia in the elderly population [J]. Ultrasound Q, 2020, 36(2): 111-117.
9
Linsalata G, Okoye C, Antognoli R, et al. Pneumonia lung ultrasound score (plus): A new tool for detecting pneumonia in the oldest patients [J]. J Am Geriatr Soc, 2020, 68(12): 2855-2862.
10
Matthies A, Trauer M, Chopra K, et al. Diagnostic accuracy of point-of-care lung ultrasound for covid-19: a systematic review and meta-analysis [J]. Emerg Med J, 2023, 40(6): 407-417.
11
Lieveld AWE, Kok B, Schuit FH, et al. Diagnosing covid-19 pneumonia in a pandemic setting: Lung ultrasound versus ct (luvct) - a multicentre, prospective, observational study [J]. ERJ Open Res, 2020, 6(4): 00539-2020.
12
中国医药教育协会超声医学专业委员会重症超声学组. 感染性肺炎超声诊断专家建议 [J/OL]. 中华医学超声杂志(电子版), 2020, 17(3): 244-250.
13
程行锋, 张芙蓉, 王慧珍. 8例不同病原菌肺炎超声特征分析及文献复习 [J]. 中国中西医结合急救杂志, 2022, 29(1): 95-97.
14
Meli M, Spicuzza L, Comella M, et al. The role of ultrasound in the diagnosis of pulmonary infection caused by intracellular, fungal pathogens and mycobacteria: A systematic review [J]. Diagnostics, 2023, 13(9): 1612.
15
李虹, 李一丹, 朱维维, 等. 高频胸膜肺超声对呼吸困难患者肺部疾病的诊断价值:与ct对照研究 [J]. 中华超声影像学杂志, 2016, 25(4): 305-308.
16
Soldati G, Demi M. The use of lung ultrasound images for the differential diagnosis of pulmonary and cardiac interstitial pathology [J]. J Ultrasound, 2017, 20(2): 91-96.
17
Safai Zadeh E, Alhyari A, Kroenig J, et al. B-mode ultrasound and contrast-enhanced ultrasound for evaluation of pneumonia: A pictorial essay [J]. Australas J Ultrasound Med, 2023, 26(2): 100-114.
18
Clofent D, Culebras M, Felipe-Montiel A, et al. Serial lung ultrasound in monitoring viral pneumonia: The lesson learned from COVID-19 [J]. ERJ Open Res, 2023, 9(4):00017-2023.
19
Gil-Rodríguez J, Martos-Ruiz M, Benavente-Fernández A, et al. Lung ultrasound score severity cut-off points in COVID-19 pneumonia. A systematic review and validating cohort [J]. Med Clin (Barc), 2023, 160(12): 531-539.
20
Fu B, Zhang P, Zhang J. Diagnosis and prognosis evaluation of severe pneumonia by lung ultrasound score combined with serum inflammatory markers [J]. Mediterr J Hematol Infect Dis, 2023, 15(1): e2023057.
21
Guo Z, Zhang X, Yuan Y. The value of lung ultrasound in assessing the degree of lesions in children with mycoplasma pneumoniae pneumonia [J]. Am J Transl Res, 2023, 15(3): 2175-2182.
22
Tana C, Ricci F, Coppola MG, et al. Prognostic significance of chest imaging by lus and ct in COVID-19 inpatients: The ecovid multicenter study [J]. Respiration, 2022, 101(2): 122-131.
23
Bessat C, Boillat-Blanco N, Albrich WC. The potential clinical value of pairing procalcitonin and lung ultrasonography to guide antibiotic therapy in patients with community-acquired pneumonia: A narrative review [J]. Expert Rev Respir Med, 2023, 17(10): 919-927.
24
Xin Y, Zhongyang L. Predictive value of lung ultrasonography on adjusted therapeutic regimen for patients with pneumonia [J]. Clinical Focus, 2022, 37(2): 133.
25
Bobillo-Perez S, Girona-Alarcon M, Rodriguez-Fanjul J, et al. Lung ultrasound in children: What does it give us? [J]. Paediatr Respir Rev, 2020, 36: 136-141.
26
Bosso G, Sansone G, Papillo M, et al. Lung ultrasound-guided peep titration in COVID-19 patients treated with CPAP [J]. J Basic Clin Physiol Pharmacol, 2023, 34(5): 677-682.
27
Camporesi A, Pierucci UM, Paladini G, et al. Lung ultrasound-guided best positive end-expiratory pressure in neonatal anesthesia: A proposed randomized, controlled study [J]. Pediatr Res, 2024, 95(1): 393-396.
28
张磊, 陈国忠, 王华英, 等. 膈肺超声联合评估对急性呼吸衰竭机械通气患者撤机结局的预测价值 [J]. 中华危重病急救医学, 2022, 34(9): 941-946.
29
Song J, Qian Z, Zhang H, et al. Diaphragmatic ultrasonography-based rapid shallow breathing index for predicting weaning outcome during a pressure support ventilation spontaneous breathing trial [J]. BMC Pulm Med, 2022, 22(1): 337.
30
Mahmoodpoor A, Fouladi S, Ramouz A, et al. Diaphragm ultrasound to predict weaning outcome: Systematic review and meta-analysis [J]. Anaesthesiol Intensive Ther, 2022, 54(2): 164-174.
31
Barbieri G, Gargani L, Lepri V, et al. Long-term lung ultrasound follow-up in patients after COVID-19 pneumonia hospitalization: A prospective comparative study with chest computed tomography [J]. Eur J Intern Med, 2023, 110: 29-34.
32
Horry MJ, Chakraborty S, Paul M, et al. COVID-19 detection through transfer learning using multimodal imaging data [J]. IEEE Access, 2020, 8: 149808-149824.
33
Huerta-Calpe S, Salas B, Inarejos Clemente EJ, et al. Sono-elastography: An ultrasound quantitative non-invasive measurement to guide bacterial pneumonia diagnosis in children [J]. Children, 2023, 10(8): 1335.
34
Rafailidis V, Andronikou S, Mentzel HJ, et al. Contrast-enhanced ultrasound of pediatric lungs [J]. Pediatr Radiol, 2021, 51(12): 2340-2350.
35
Fu Y, Lei Y, Cui L, et al. Can ultrasound and contrast-enhanced ultrasound help differentiate between subpleural focal organizing pneumonia and primary lung malignancy? [J]. Diagnostics (Basel), 2022, 12(9):2074.
No related articles found!
阅读次数
全文


摘要