Role of diaphragmatic ultrasound in patients with acute exacerbation of chronic obstructive pulmonary disease  

作　　者：Prakash Banjade Yasoda Rijal Munish Sharma Salim Surani 

机构地区：[1]Department of General Medicine,Manipal College of Medical Science,Pokhara 33700,Nepal [2]Department of Internal Medicine,Institute of Medicine Tribhuvan University,Kathmandu 44613,Nepal [3]Department of Pulmonary and Critical Care Medicine,Baylor Scott and White,Temple,LA 76508,United States [4]Department of Medicine and Pharmacology,Texas A and M University,College Station,TX 77843,United States

出　　处：《World Journal of Clinical Cases》2024年第36期6887-6891,共5页世界临床病例杂志（英文）

摘　　要：Assessing diaphragm function status is vital for diagnosing and treating acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Diaphrag-matic ultrasound has become increasingly important due to its non-invasive nature,absence of radiation exposure,widespread availability,prompt results,high accuracy,and repeatability at the bedside.The diaphragm is a crucial respiratory muscle.Decline or dysfunction of the diaphragm can lead to dyspnea and even respiratory failure in AECOPD patients.In this editorial,we comment on an article,retrospectively analyzed ninety-four acute exacerbations of chronic obstructive pulmonary disease patients who received mechanical ventilation from January 2022 to December 2023.The study found that the diaphragm thickening fraction,an index from diaphragm ultrasound,can better predict the outcome of non-invasive ventilation in patients with AECOPD.The value of non-invasive ventilation in treating respiratory failure caused by AECOPD has been widely acknowledged.Diaphragmatic dysfunction diagnosed with ultrasound is asso-ciated with prolonged mechanical ventilation and weaning times and higher mortality.

关 键 词：Diaphragm ultrasound Chronic obstructive pulmonary disease DIAPHRAGM ULTRASOUND Obstructive lung disease Nivalenol Respiratory failure mechanical ventilation 

分 类 号：R563[医药卫生—呼吸系统]