肺部彩色多普勒超声在成人社区获得性肺炎的临床应用价值  

Application value of lung color Doppler ultrasound in adult community acquired pneumonia

作　　者：冯国隽 王俊[2] 杨红梅[3] 邓旦 Feng Guojun Wang Jun Yang Hongmei Deng Dan(Department of Ultrasound,Affiliated Hospital of Southwest Medical University,Luzhou, Sichuan 646000, China Department of Respiration, Jiangyou Municipal People＇s Hospital, Jiangyou, Sichuan 621700, China Department of Ultrasound, Jiangyou Municipal Peoplets Hospital, Jiang you , Sichuan 621700, China)

机构地区：[1]西南医科大学附属医院超声科,四川泸州646000 [2]四川省江油市人民医院呼吸科,621700 [3]四川省江油市人民医院超声科,621700

出　　处：《重庆医学》2017年第27期3792-3794,共3页Chongqing medicine

基　　金：四川省卫生和计划生育委员会基金资助项目(16PJ400)

摘　　要：目的研究肺部超声(LUS)在成人社区获得性肺炎(CAP)中的临床应用价值。方法对西南医科大学附属医院经临床及胸部CT诊断为CAP的301例患者进行LUS检查,对LUS检查出肺炎的大部分患者进行超声随访检查,观察疾病转归情况。结果 301例患者中超声检查阳性288例,11例假阴性,2例误诊,阳性率为95.6%。主要超声征象为肺实变、胸膜线异常、B线、胸腔积液,288例超声检查阳性患者均发现实变,其中193例伴支气管充气征,280例胸膜线异常,85例伴有胸腔积液,212例伴有B线;实变病灶区域分布:单侧肺108例,双侧肺180例,82例为单发病灶,206例为多发病灶。结论肺部超声诊断CAP准确率高,无辐射,可在床旁检查,值得推广。Objective To s：tudy the clinical application value of lung ultrasonography （LUS） in adult community acquired pneumonia （CAP）. Methods A total of 304 cases of CAP diagnosed by clinic and lung CT in our hospital were performed LUS ex amination and the results were conducted the comparison. The majority of pneumonia patients detected by ultrasound were performed the ultrasound follow up for observing the disease outcomes. Results Among 301 cases,288 cases were ultrasound examination positive, 11 cases were false negative, 2 cases were misdiagnosis, the positive rate was 95.6 %. The main ultrasound signs were pulmonary consolidation, abnormal pleural line, B line and pleural effusion. Among 288 cases of positive ultrasound,lung consolidation was found,in which 193 cases were accompanied by air bronchogram,280 cases had abnormal pleural line,85 cases had pleural effusion, 212 cases had B line ; the consolidation lesion areas distribution ： unilateral lung in 108 cases, bilateral lungs in 180 cases, 82 cases of single lesion and 206 cases of multiple lesions. Conclusion The lung ultrasound diagnosis of CAP has high accuracy,no radiation,can conduct in bedside,can be repeated for many times,and is worth promoting.

关 键 词：肺炎 超声检查 多普勒 彩色 成人 

分 类 号：R445.1[医药卫生—影像医学与核医学] R563.1[医药卫生—诊断学]