心肺超声在急性呼吸窘迫综合征的应用  

Role of integrated cardiopulmonary ultrasound in acute respiratory distress syndrome

作　　者：吴文[1] 吴海鹰[1] 钱传云[1] 

机构地区：[1]昆明医科大学第一附属医院急救医学部,云南昆明650032

出　　处：《中国急救医学》2015年第8期753-757,共5页Chinese Journal of Critical Care Medicine

基　　金：云南省应用基础研究项目（昆明医科大学联合专项,2014FA012）

摘　　要：肺部影像学检查在急性呼吸窘迫综合征（ARDS）的诊断、治疗策略的制定及预后的判断上起着至关重要的作用。肺部超声可以通过各种超声征象对肺脏病理变化进行准确地评价；肺部超声联合心脏超声能准确地鉴别ARDS和心源性肺水肿，可在肺复张治疗中提供右心状态的准确评估。作为一种简易的、无创的、无放射累积的床旁诊断ARDS的工具，心肺超声在临床上已经获得了越来越多的认同。本文将对心肺超声在ARDS临床应用的研究现状做一简要综述。Lung imaging is extremely crucial for optimizing diagnostic and therapeutic strategies and predicting prognosis in managing acute respiratory distress syndrome （ARDS）. Lung ultrasound can provide various signs for precisely evaluate the morphological changes in ARDS. Combined with echocardiography, lung ultrasound as a reliable tool to differentiate ARDS from cardiogenic pulmonary edema. Echocardiography can easily obtain valuable information about right ventricular status in lung recruitment manuver. As an easy - to - use, noninvasive and radiation - free bedside tool for ARDS, cardiopulmonary ultrasound gains more and more acceptance. The purpose of this review is to discuss clinical application of cardiopulmonary ultrasound in patients with ARDS.

关 键 词：心肺超声 急性呼吸窘迫综合征(ARDS) 肺复张 超声心动图 心源性肺水肿 

分 类 号：R563.8[医药卫生—呼吸系统]