肺部超声在重症疾病中的临床应用进展
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摘要
<正>近年来,损伤的肺泡及间质由于气- 液比例发生变化,产生与正常肺部超声"黑影"不同的征象,使超声在肺的应用成为可能。随着超声技术的发展,逐渐发现肺部超声在诊断急性呼吸窘迫综合征、肺水肿、肺炎、气胸、肺栓塞等方面的重大价值,并可监测肺通气变化,指导临床液体的管理,评估预后,成为慢性疾病患者高风险事件的预测因子,尤其适用于重症疾病。而胸部X线片与CT检查搬运不便,暴露辐射,等待时间长,可重复性差,体位限制,成本高等缺陷使其不适于危重疾病的快速
引文
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2 Lichtenstein D.Lung ultrasound in the critically ill[J].Curr Opin Crit Care,2014,20(3):315- 322.
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2 Lichtenstein D.Lung ultrasound in the critically ill[J].Curr Opin Crit Care,2014,20(3):315- 322.
3 Zhou Y,Fan QQ,Cavus O,et al.Lung ultrasound:predictor of acute respiratory distress syndrome in intensive care unit patients[J].Saudi J Anaesth,2018,12(3):457- 461.
4 Bernard GR,Artigas A,Brigham KL,et al.The american- european consensus conference on ARDS.definitions,mechanisms,relevant outcomes,and clinical trial coordination[J].Am J Respir Crit Care Med,1994,149(3 Pt 1):818- 824.
5 Fanelli V,Vlachou A,Ghannadian S,et al.Acute respiratory distress syndrome:new definition,current and future therapeutic options[J].J Thorac Dis,2013,5(3):326- 334.
6 ARDS Definition task force,Ranieri VM,Rubenfeld GD,et al.Acute respiratory distress syndrome:the berlin definition[J].JAMA,2012,307(23):2526- 2533.
7 Lichtenstein D,Goldstein I,Mourgeon E,et al.Comparative diagnostic performances of auscultation,chest radiography,and lung ultrasonography in acute respiratory distress syndrome[J].Anesthesiology,2004,100(1):9- 15.
8 Manno E,Navarra M,Faccio L,et al.Deep impact of ultrasound in the intensive care unit:the “ICU- sound”protocol[J].Anesthesiology,2012,117(4):801- 809.
9 See KC,Ong V,Tan YL,et al.Chest radiography versus lung ultrasound for identification of acute respiratory distress syndrome:a retrospective observational study[J].Crit Care,2018,22(1):203.
10 Lichtenstein DA,Mezière GA.Relevance of lung ultrasound in the diagnosis of acute respiratory failure:the BLUE protocol[J].Chest,2008,134(1):117- 125.
11 Patel C,Bhatt H,Parikh S,et al.Bedside lung ultrasound in emergency protocol as a diagnostic tool in patients of acute respiratory distress presenting to emergency department[J].J Emerg Trauma Shock,2018,11(2):125- 129.
12 Ma H,Huang D,Guo L,et al.Strong correlation between lung ultrasound and chest computerized tomography imaging for the detection of acute lung injury/acute respiratory distress syndrome in rats[J].Thorac Dis,2016,8(7):1443- 1448.
13 Volpicelli G,Elbarbary M,Blaivas M,et al.International evidence- based recommendations for point- of- care lung ultrasound[J].Intensive Care Med,2012,38(4):577- 591.
14 Liu J,Cao HY,Wang HW,et al.The role of lung ultrasound in diagnosis of respiratory distress syndrome in newborn infants[J].Iran J Pediatr,2014,24(2):147- 154.
15 Liu J.Lung ultrasonography for the diagnosis of neonatal lung disease[J].J Matern Fetal Neonatal Med,2014,27(8):856- 861.
16 Guérin C.Prone position[J].Curr Opin Crit Care,2014,20(1):92- 97.
17 Guérin C,Reignier J,Richard JC,et al.Prone positioning in severe acute respiratory distress syndrome[J].N Engl J Med,2013,368(23):2159- 2168.
18 Taccone P,Pesenti A,Latini R,et al.Prone positioning in patients with moderate and severe acute respiratory distress syndrome:a randomized controlled trial[J].JAMA,2009,302(18):1977- 1984.
19 Gattinoni L,Tognoni G,Pesenti A,et al.Effect of prone positioning on the survival of patients with acute respiratory failure[J].N Engl J Med,2001,345(8):568- 573.
20 Charron C,Bouferrache K,Caille V,et al.Routine prone positioning in patients with severe ARDS:feasibility and impact on prognosis[J].Intensive Care Med,2011,37(5):785- 790.
21 Guérin C,Reignier J,Richard JC.Prone positioning in the acute respiratory distress syndrome[J].N Engl J Med,2013,369(10):980- 981.
22 Gattinoni L,Pelosi P,Vitale G,et al.Body position changes redistribute lung computed- tomographic density in patients with acute respiratory failure[J].Anesthesiology,1991,74(1):15- 23.
23 Wang XT,Ding X,Zhang HM,et al.Lung ultrasound can be used to predict the potential of prone positioning and assess prognosis in patients with acute respiratory distress syndrome[J].Crit Care,2016,20(1):385.
24 Prat G,Guinard S,Bizien N,et al.Can lung ultrasonography predict prone positioning response in acute respiratory distress syndrome patients?[J].Critical Care,2016,32:36- 41.
25 Edwards MO,Kotecha SJ,Kotecha S.Respiratory distress of the term newborn infant[J].Paediatr Respir Rev,2013,14(1):29- 36.
26 Messina F,Grappone L.Hyaline membrane disease or respiratory distress syndrome?A new approach for an old disease[J].J Pediatr Neonat Individua Med,2014,3(2):e030263.
27 Hiles M,Culpan AM,Watts C,et al.Neonatal respiratory distress syndrome:chest x- ray or lung ultrasound?a systematic review[J].Ultrasound,2017,25(2):80- 91.
28 Copetti R,Cattarossi L,Macagno F,et al.Lung ultrasound in respiratory distress syndrome:a useful tool for early diagnosis[J].Neonatology,2008,94(1):52- 59.
29 Lichtenstein D.Lung ultrasound in the critical ill[J].CurrOpin Crit Care Care,2014,20(3):315- 22.
30 Lee SH,Choi CW,Oh YK,et al.Atypical acute respiratory disorder in late preterm and term newborn infants[J].J Matern Fetal Neonatal Med,2016,29(9):1430- 1434.
31 Jain L,Eaton DC.Physiology of fetal lung fluid clearance and the effect of labor[J].Semin Perinatol,2006,30(1):34- 43.
32 Ibrahim M,Omran A,AbdAllah NB,et al.Lung ultrasound in early diagnosis of neonatal transient tachypnea and its differentiation from other causes of neonatal respiratory distress[J].J Neonatal Perinatal Med,2018,11(3):281- 287.
33 Copetti R,Cattarossi L.The “double lung point”:an ultrasound sign diagnostic of transient tachypnea of the newborn[J].Neonatology,2007,91(3):203- 209.
34 Raimondi F,Migliaro F,Sodano A,et al.Use of neonatal chest ultrasound to predict noninvasive ventilation failure[J].Pediatrics,2014,134(4):e1089- 1094.
35 Liu J,Ren XL,Fu W,et al.Bronchoalveolar lavage for the treatment of neonatal pulmonary atelectasis under lung ultrasound monitoring[J].J Matern Fetal Neonatal Med,2017,30(19):2362- 2366.
36 Lovrenski J,Sorantin E,Stojanovi S,et al.Evaluation of surfactant replacement therapy effects- a new potential role of lung ultrasound[J].Srp Arh Celok Lek,2015,143(11- 12):669- 675.
37 李莲花,杨倩,李黎明,等.肺部超声评分评估急性呼吸窘迫综合征患者病情严重程度及预后的价值[J].中华危重病急救医学,2015,27(7):579- 584.
38 Leblanc D,Bouvet C,Degiovanni F,et al.Early lung ultrasonography predicts the occurrence of acute respiratory distress syndrome in blunt trauma patients[J].Intensive Care Med,2014,40(10):1468- 1474.
39 Stefanidis K,Dimopoulos S,Tripodaki ES,et al.Lung sonography and recruitment in patients with early acute respiratory distress syndrome:A pilot study[J].Crit Care,2011,15(4):R185.
40 Xirouchaki N,Magkanas E,Vaporidi K,et al.Lung ultrasound in critically ill patients:comparison with bedside chest radiography[J].Intensive Care Med,2011,37(9):1488- 1493.
41 Bouhemad B,Liu ZH,Arbelot C,et al.Ultrasound assessment of antibiotic- induced pulmonary reaeration in ventilator- associated pneumonia[J].Crit Care Med,2010,38(1):84- 92.
42 Soummer A,Perbet S,Brisson H,et al.Ultrasound assessment of lung aeration loss during a successful weaning trial predicts postextubation distress[J].Crit Care Med,2012,40(7):2064- 2072.
43 Riviello ED,Kiviri W,Twagirumugabe T,et al.Hospital incidence and outcomes of the acute respiratory distress syndrome using the Kigali modification of the Berlin definition[J].Am J Respir Crit Care Med,2016,193(1):52- 59.
44 Lichtenstein DA,Meziere GA.The BLUE- points:three standardized points used in the BLUE- protocol for ultrasound assessment of the lung in acute respiratory failure[J].Crit Ultrasound,2011,3(2):109- 110.
45 Brandstrup B,Tonnesen H,Beier- HolgersenR,et al.Effects of intrave- nous fluid restriction on postoperative complica - tions:Comparison of two perioperative fluid regimens:Arandomized assessor- blinded multicenter trial[J].AnnSurg,2003,238(5):641- 648.
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