How I do it: Lung ultrasound
How I do it: Lung ultrasound
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DOI：
10.1186/1476-7120-12-25
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发表时间：
2014-07-04
影响因子：
1.9
通讯作者：
Volpicelli, Giovanni
中科院分区：
文献类型：
--
作者：
Gargani, Luna;Volpicelli, Giovanni
在过去的15年里，一种新的超声成像应用出现在临床竞技场：肺超声（LUS）。LUS从传统的胸腔积液和肿块评估，转向了肺实质成像的革命性方法，主要作为一种即时技术。尽管受限于空气的存在，LUS已被证明可用于评估许多不同的急性和慢性疾病，从心源性肺水肿到急性肺损伤，从气胸到肺炎，从间质性肺病到肺梗死和挫伤。它是特别有价值的，因为它是一个相对容易学习的超声应用，技术要求低于其他超声检查。它是快速执行，便携式，可重复，非电离，独立于特定的声学窗口，因此适合在许多不同的设置，住院和门诊，急性和慢性条件下的有意义的评价。在接下来的几年里，床旁LUS可能会在许多不同的临床环境中变得越来越重要，从急诊室到重症监护室，从心脏科到肺病科和肾病科病房。
In the last 15 years, a new imaging application of sonography has emerged in the clinical arena: lung ultrasound (LUS). From its traditional assessment of pleural effusions and masses, LUS has moved towards the revolutionary approach of imaging the pulmonary parenchyma, mainly as a point-of-care technique. Although limited by the presence of air, LUS has proved to be useful in the evaluation of many different acute and chronic conditions, from cardiogenic pulmonary edema to acute lung injury, from pneumothorax to pneumonia, from interstitial lung disease to pulmonary infarctions and contusions. It is especially valuable since it is a relatively easy-to-learn application of ultrasound, less technically demanding than other sonographic examinations. It is quick to perform, portable, repeatable, non-ionizing, independent from specific acoustic windows, and therefore suitable for a meaningful evaluation in many different settings, both inpatient and outpatient, in both acute and chronic conditions. In the next few years, point-of-care LUS is likely to become increasingly important in many different clinical settings, from the emergency department to the intensive care unit, from cardiology to pulmonology and nephrology wards.