Abstract:Corona virus disease 2019 (COVID-19) is an acute infectious pneumonia. The pathogen is the newly discovered β coronavirus. It is rapid onset, rapid progress, many complications and high mortality and the population is generally susceptible. Its outbreak has become a public health event that seriously affects China and the world. Therefore, timely and accurate diagnosis of pulmonary edema progression is very important for clinicians to adopt correct and effective treatment plan. However, it is inconvenient for critically ill and highly infectious patients to go out for CT examinations, but the bedside lung ultrasound has the advantages of simple, fast, effective and mobile and so on, which has a strong substitute. This paper describe characteristics and signs of lung ultrasound (lungs ultrasound was performed at different stages of the disease progression by the author) of three patients with different symptoms (once case of critical illness, severe and ordinary) which positive by viral nucleic acid test in isolation wards of COVID-19 fixed-point hospital (the Fourth People’s Hospital of Ningxia Hui Autonomous Region) from February 10 to March 16, 2020, in order to provide valuable data for coping with the increasingly serious epidemic situation and the urgent need of clinicians’ monitoring means.
兰长利. 不同类型新型冠状病毒肺炎的肺脏超声的动态表现[J]. 中国医药导报, 2021, 18(10): 151-154,158.
LAN Changli. Dynamic manifestations of lung ultrasound with different types of corona virus disease 2019. 中国医药导报, 2021, 18(10): 151-154,158.
[1] Yin W,Li Y,Zeng X,et al. The utilization of critical care ultrasound to assess hemodynamics and lung pathology on ICU admission and the potential for predicting outcome [J]. PLoS One,2017,12(8):e0182881.
[2] Leech M,Bissett B,Kot M,et al. Lung ultrasound for critical care physiotherapists:a narrative review [J]. Physiother Res Int,2015,20(2):69-76.
[3] Lichtenstein D,Mezière G. The BLUE-points:three standardized points used in the BLUE-protocol for ultrasound assessment of the lung in acute respiratory failure [J]. Crit Ultrasound J,2011,3:109-110.
[4] Rouby JJ,Arbelot C,Gao Y,et al. Training for Lung Ultrasound Score Measurement in Critically Ill Patients [J]. Am J Respir Crit Care Med,2018,198(3):398-401.
[5] 李虹,李一丹,朱维维,等.高频胸膜肺超声对呼吸困难患者肺部疾病的诊断价值:与CT对照研究[J].中华超声影像学杂志,2016,25(4):305-308.
[6] Turner JP,Dankoff J. Thoracic ultrasound [J]. Emerg Med Clin North Am,2012,30(2):451-473.
[7] 张玉坤,杨建平,陈军.床边超声快速诊断和治疗H7N9感染重度急性呼吸窘迫综合征后胸腔积液或气胸[J].中华危重病急救医学,2014,26(2):123-125.
[8] 新冠肺炎实时疫情分析.截至2020-03-18 08:59. https://m.look.360.cn/subject/400?sign=360dh&stab=2.
[9] Xu Z,Shi L,Wang Y,et al. Pathological findings of NCP associated with acute respiratory distress syndrome [J]. Lancet Respir Med. doi:10.1016/s2213-2600(20)30076-x.
[10] 国家卫生健康委员会,国家中医药管理局.新型冠状病毒感染的肺炎诊疗方案(试行第五版)[S].2020.
[11] 杨勇,王臻,杜虹,等.肺部超声在甲型H7N9流感重症肺炎中的应用[J/CD].中华医学超声杂志:电子版,2019, 16(1):72-76.
[12] Lichtenstein DA. BLUE-protocol and FALLS-protocol:two applications of lung ultrasound in the critically ill [J]. Chest,2015,147(6):1659-1670.
[13] Hwang TS,Yoon YM,Jung DI,et al. Usefulness of transthoracic lung ultrasound for the diagnosis of mild pneumothorax [J]. J Vet Sci,2018,19(5):660-666.
[14] Bensted K,Mckenzje J,Havryk A,et al. Lung ultrasound after transbronchial biopsy for pneumothorax screening in post-lung transplant patients [J]. J Bronchology Interv Pulmonol,2018,25(1):42-47.
[15] Mohamed ESM. In diagnosis of pleural effusion and pneumothorax in the intensive care unit patients:Can chest us replace bed— side plain radiography [J]. Egyptian J Radiol Nuclear Med,2018,49(2):346-351.
[16] 李亮,刘桂英,苏瑛,等.肺脏超声检查在新生儿肺炎的疗效评估中的应用价值[J].中国超声医学杂志,2019, 35(2):119-122.
[17] 国家卫生健康委能力建设和继续教育中心,中国医学装备学会超声装备技术委员会战创伤和急重症超声专业委员会,中国医学装备学会超声装备技术委员会远程及移动超声专业委员会.新型冠状病毒肺炎重症超声应用专家共识(战时应急稿)[J].中国急救医学,2020, 40(3):185-195.
[18] Sartori S,ToInbesi P. Emerging mles for tmnsthomcic ultrasonog-raphy in pleuropulmonary paholodgy [J]. World J Radiol,2010,2(2):83-90.
[19] Lichtenstein DA. Lung ultrasound in the critically ill [J]. Curr Opin Crit Care,2014,20(3):315-322.