Lung ultrasound: a new tool for the cardiologist.

Lung ultrasound: a new tool for the cardiologist.
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DOI:
10.1186/1476-7120-9-6
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发表时间:
2011-02-27
影响因子:
1.9
通讯作者:
Gargani L
Gargani L
中科院分区:
医学4区
文献类型:
--
作者:
Gargani L

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多年来,肺部一直被认为是超声波的禁区。然而,它最近已被证明,肺超声(LUS)可能是一个有用的工具,许多肺部疾病的心血管疾病的评价。LUS对于心脏病专家的主要应用是评估B线。B线是混响伪影,起源于水增厚的肺小叶间隔。多条B线出现在肺充血中,可能有助于检测、半定量和监测血管外肺水,有助于呼吸困难的鉴别诊断,有助于慢性心力衰竭和急性冠脉综合征的预后分层。
For many years the lung has been considered off-limits for ultrasound. However, it has been recently shown that lung ultrasound (LUS) may represent a useful tool for the evaluation of many pulmonary conditions in cardiovascular disease. The main application of LUS for the cardiologist is the assessment of B-lines. B-lines are reverberation artifacts, originating from water-thickened pulmonary interlobular septa. Multiple B-lines are present in pulmonary congestion, and may help in the detection, semiquantification and monitoring of extravascular lung water, in the differential diagnosis of dyspnea, and in the prognostic stratification of chronic heart failure and acute coronary syndromes.
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