| 摘要: |
| 【】目的：探讨肺部超声在急性呼吸窘迫综合征(ARDS)严重程度评估中的应用。方法：前瞻性选取2015年10月至2016年12月我院诊治的ARDS患者119例,所有患者均给予胸部CT、肺部超声检查,并制定肺部超声评分(LUS),依据病情分为轻中度组(n=67)、重度组(n=52),依据预后分为生存组(n=72)、死亡组(n=47)。结果：在LUS评分、急性生理学与慢性健康状况评分系统Ⅱ(APACHE Ⅱ)评分、呼气末正压(PEEP)方面,重度组明显高于轻中度组,死亡组明显高于生存组(P<0.05)；在动脉血氧分压/吸入氧浓度(PaO2/FiO2)方面,重度组明显低于轻中度组,死亡组明显低于生存组(P<0.05)；Pearson相关性分析显示,LUS评分与APACHE Ⅱ评分、PEEP水平呈正相关(r1=0.763,r2=0.593,P<0.05),与PaO2/FiO2水平呈负相关(r3=-0.637,P<0.05)；ROC曲线分析显示,LUS评分以18.00分为分界值时,其评估ARDS严重程度的敏感度、特异度、准确度分别为96.15%、94.03%、94.96%,与实际结果基本相同(P>0.05)logistic回归性分析显示,上述指标是患者死亡的独立影响因素(P<0.05)。结论：肺部超声及其LUS评分与ARDS患者APACHE Ⅱ评分、PaO2/FiO2、PEEP水平密切关联,可作为评估ARDS严重程度的重要指标,且上述指标是患者死亡的独立影响因素。 |
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| 投稿时间：2017-09-07修订日期：2018-07-11 |
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| application of lung ultrasound in evaluating the severity of illness with acute respiratory distress syndrome |
| Li jiazhou |
| () |
| Abstract: |
| 【S】objective: To discuss the application of lung ultrasound in evaluating the severity of illness with acute respiratory distress syndrome (ARDS).Methods: 119 patients with ARDS were perspectiveness selected from October 2015 to December 2016 in our Hospitals, all patients were given the chest CT and ultrasound examination, and enacted the lung ultrasound score(LUS),according to condition,all patients were divided into mild-moderate donor groups (n = 67) and the severe group (n = 52 cases), according to the prognosis, all patients were divided into survival group (n = 72) and death group (n = 47). Results: |
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