Overview of current lung imaging in acute respiratory distress syndrome.
Overview of current lung imaging in acute respiratory distress syndrome.
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DOI：
10.1183/09059180.00001314
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发表时间：
2014-12
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影像学在急性呼吸窘迫综合征（ARDS）的诊断和随访中发挥着关键作用。胸部X线摄影、床旁肺部超声检查和计算机断层扫描可以为患者的管理和预后因素的检测提供有用的信息。然而，影像学表现并不特异，应考虑几种可能的鉴别诊断。在此，我们将回顾放射学技术在ARDS中的作用，根据疾病的病理阶段（渗出性，炎症性和纤维增生性）强调普通放射学和计算机断层扫描结果，并总结心源性水肿的鉴别诊断要点，这在急性期仍然具有挑战性。
Imaging plays a key role in the diagnosis and follow-up of acute respiratory distress syndrome (ARDS). Chest radiography, bedside lung ultrasonography and computed tomography scans can provide useful information for the management of patients and detection of prognostic factors. However, imaging findings are not specific and several possible differential diagnoses should be taken into account. Herein we will review the role of radiological techniques in ARDS, highlight the plain radiological and computed tomography findings according to the pathological stage of the disease (exudative, inflammatory and fibroproliferative), and summarise the main points for the differential diagnosis with cardiogenic oedema, which is still challenging in the acute stage.