Thoracic ultrasound and SARS-COVID-19: a pictorial essay
Thoracic ultrasound and SARS-COVID-19: a pictorial essay
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DOI：
10.1007/s40477-020-00458-7
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发表时间：
2020-04-16
影响因子：
2
通讯作者：
Schiavone, Cosima
中科院分区：
文献类型：
--
作者：
Sofia, Soccorsa;Boccatonda, Andrea;Schiavone, Cosima
胸部超声因其易于应用的特点，似乎适合于疑似或确诊SARS-COVID-19感染患者肺部受累的筛查。它也可以是监测患者的相关方法。B线是COVID-19的早期发现，即使在症状轻微的受试者中也是如此;在最严重的情况下，例如ARDS前或ARDS，B线最终几乎完全填充超声图像，直到其合并，从而创建称为“白色肺”的单个高回声图像，胸膜线失真和不规则。在晚期，出现肺实变，代表不再正常通气的肺病理区域。
Thoracic ultrasound seems to adapt to the screening for lung involvement of patients with suspected or ascertained SARS-COVID-19 infection due to its characteristics of easy applicability. It can be also a relevant method in monitoring patients. B lines are early finding of COVID-19, even in mild-symptomatic subjects; in the most serious cases such as pre-ARDS or ARDS, the B lines end up filling the ultrasound image almost completely, until it merges, so as to create a single hyperechoic image named as "white lung", with distortion and irregularity of the pleural line. In advanced stage, lung consolidations are present, representing pulmonary pathological areas that are no longer normally ventilated.