摘要
超声作为一种简便无创的检查,更适合于需要机械通气和行动不便的危重患者,因此在重症医学领域的应用日益广泛。在重症医学领域,超声诊断主要用于肺实变、肺水肿、肺通气相关肺炎等肺部病变的检查,以及常见呼吸困难疾病的诊断及鉴别诊断。与此同时,超声诊断还可以对患者肺通气功能及肺复张效果等做出评估,从而指导临床决策与治疗方案。超声用于重症监护病房患者肺部疾病及功能改变的诊断效果良好,与X线和CT检查相比,具有无辐射性、可重复性高和方便快捷等优势,在未来将得到进一步推广与加强。
As a simple and noninvasive examination,ultrasonography is more suitable for patients who need mechanical ventilation and with movement inconvenience.Therefore,it has been widely used in the field of critical care medicine,specifically for diagnosing pulmonary illnesses such as pulmonary consolidation,pulmonary edema,pulmonary ventilation associated pneumonia,and it can also be used for the diagnosis and differential diagnosis in dyspnea.In the meantime,ultrasonography can also be used to evaluate the pulmonary ventilation function and the effect of pulmonary reexpansion to guide clinical decisions and treatments.Ultrasonography is effective in diagnosing pulmonary disease and functional changes in ICU patients.In comparison with X-ray or CT scanning,ultrasonography has superiorities such as no-radiation,high repeatability and convenience,which deserves further popularization and enhancement in the future.
作者
汪晓强
吴彤
田婕
WANG Xiaoqiang;WU Tong;TIAN Jie(Department of Anesthesiology,Renji Hospital,School of Medicine,Shanghai Jiaotong University,Shanghai 200000,China)
出处
《医学综述》
2018年第23期4731-4735,共5页
Medical Recapitulate
关键词
肺部疾病
超声成像
重症医学
重症监护病房
Pulmonary disease
Ultrasonography
Critical care medicine
Intensive care unit
