肺部超声在重症医学常见肺部疾病诊断中的应用研究进展  

Research progress on application of lung ultrasound in diagnosis of common pulmonary diseases in critical care medicine

作　　者：董良杰 张光锐 于朝霞[1] DONG Liangjie;ZHANG Guangrui;YU Zhaoxia(Department of Critical Care Medicine,The First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China)

机构地区：[1]新疆医科大学第一附属医院重症医学科,新疆乌鲁木齐830054

出　　处：《山东医药》2025年第4期132-135,共4页Shandong Medical Journal

基　　金：新疆维吾尔自治区卫生与健康适宜技术推广项目(SYTG-Y202324);“天山英才”医药卫生高层次人才培养计划项目(TSYC202301A039)。

摘　　要：因肺部组织含气的生理学特征,既往肺部被认为是超声检查的禁区。伴随着超声检测技术的进步,肺部超声检查已逐步被应用于多种肺部疾病的诊断、病情评估、动态监测等,尤其在重症医学常见肺部疾病(胸腔积液、肺实变、肺不张、气胸、肺栓塞、急性呼吸窘迫综合征)的诊断中具有独特优势。目前肺部超声的临床研究已不仅局限于对不同肺部疾病的图像描述,超声造影的使用可对实质性脏器的血供进行判断,进而可预测患者预后。Due to the air-containing physiological characteristics of lung tissues,the lungs were historically considered a"no-go zone"for ultrasound examination.With advancements in ultrasound technology,lung ultrasound has gradually been applied to the diagnosis,condition assessment,and dynamic monitoring of various pulmonary diseases.It is particularly ad-vantageous in diagnosing common critical care conditions such as pleural effusion,lung consolidation,atelectasis,pneumo-thorax,pulmonary embolism,and acute respiratory distress syndrome(ARDS).Currently,clinical research on lung ultra-sound has expanded beyond mere imaging descriptions of different pulmonary diseases.The use of contrast-enhanced ultra-sound allows for the evaluation of blood supply in solid organs,thereby enabling the prediction of patients'prognosis.

关 键 词：肺部疾病 重症医学 肺部超声 

分 类 号：R445.1[医药卫生—影像医学与核医学]