Sonographic signs and patterns of COVID-19 pneumonia

Sonographic signs and patterns of COVID-19 pneumonia
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DOI:
10.1186/s13089-020-00171-w
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发表时间:
2020-04-21
期刊:
影响因子:
3.4
通讯作者:
Gargani, Luna
Gargani, Luna
中科院分区:
其他
文献类型:
--
作者:
Volpicelli, Giovanni;Gargani, Luna

文献摘要

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新冠肺炎的大流行正在对世界许多地区的医疗机构构成严重挑战。这种新型冠状病毒SARS-CoV-2对下呼吸道有特异性趋向性,但在很低比例的患者中会导致严重肺炎。然而,在这场大流行期间,感染的快速传播导致需要将大量患者送往医院。新冠肺炎肺炎具有特殊性,对疑似患者可早期行肺部超声检查。单独考虑超声征象是非特异性的,但观察垂直伪影的某些方面可以提高超声检查的诊断能力。此外,在不同表型的疾病中,超声征象的组合及其与血液检查的相关性可能允许可靠的特征,并有助于对患者进行分类和入院。
The pandemic of COVID-19 is seriously challenging the medical organization in many parts of the world. This novel corona virus SARS-CoV-2 has a specific tropism for the low respiratory airways, but causes severe pneumonia in a low percentage of patients. However, the rapid spread of the infection during this pandemic is causing the need to hospitalize a high number of patients. Pneumonia in COVID-19 has peculiar features and can be studied by lung ultrasound in the early approach to suspected patients. The sonographic signs are non-specific when considered alone, but observation of some aspects of vertical artifacts can enhance the diagnostic power of the ultrasound examination. Also, the combination of sonographic signs in patterns and their correlation with blood exams in different phenotypes of the disease may allow for a reliable characterization and be of help in triaging and admitting patients.