肺超声诊断和应用研究进展

The diagnosis and application progress of pulmonary ultrasound

气体及骨性胸廓对超声波的强反射及伪影,使得肺部一直是超声检查的一个禁区。然而,自1997年Lichtenstein等人根据肺部病变超声影像及伪影的一系列变化,报告了超声肺彗星尾征(ULCs)作为肺泡-间质综合征诊断指标,近年来床旁肺超声的临床应用及诊断价值被医生尤其是ICU医生所重视,目前认为床旁肺超声对危重症患者心肺状态的评估及实时监测非常有价值,能及时对临床急危重心肺疾病的鉴别及治疗提供证据支持,随着越来越多的ICU病房开展并应用了床旁超声,超声诊断水平与操作方法及流程有着非常密切的相关性,因此,肺超声的规范操作和诊断流程就显得尤为重要,本文就肺超声诊断和应用研究进展作综述。

The gas and bone thorax have strong reflection and artifact,the lung has been a restricted area of ultrasound,However,In 1997,as Lichtenstein et al.report a series of changes in the imaging stage artifact of ultrasound imaging,Ultrasonic lung comet(ULCs)was made diagnostic index for alveolar-interstitial syndrome,in recent years,the clinical application and diagnostic value of the bedside pulmonary ultrasound is valued by doctors,especially in ICU,at present,the assessment of the cardiopulmonary function and the real-time monitoring of the lung ultrasound in the severe patients is of great value,can provide evidence support for the identification and treatment of acute and dangerous lung disease.As more and more ICU wards were use bedside ultrasound,ultrasonic diagnosis correlated with user operation methods and processes.Therefore,standardized operation and diagnosis process of lung ultrasonic is important,this paper will summarizes the diagnosis and application progress of lung ultrasound.