| 摘要: |
| 摘要：目的：探讨序贯超声检查对2019新型冠状病毒肺炎（Corona Virus Disease 2019，COVID-19）危重症患者的临床价值。方法：筛选2020年1月1日—2020年4月15日间武汉金银潭医院收治的232例行过超声检查的新冠肺炎重症患者，回顾性分析其这段病程内超声检查的项目及检查结果。结果：新冠肺炎重症患者做过的超声检查项目包括：床旁心脏心功能彩超（181例）、胸腔超声（131例）、肝胆胰脾、门静脉超声（134例）、双肾、输尿管超声（125例）、双下肢动脉、深静脉超声（75例）、腹部大血管超声（51例）、颈部血管超声（14例）、子宫及其附件超声（4例）、颌下腺超声（2例）、膀胱、前列腺超声（2例）、甲状腺超声（24例）、肾上腺超声（22例）、睾丸及附睾超声（1例）。阳性率分别是： 92%、100%、87%、68%、81%、61%、43%、75%、50%、50%、75%、9%、100%。结论：序贯超声对COVID-19危重症患者的诊治具有重要作用，贯穿危重症患者诊治全程，临床－序贯超声将以COVID-19为契机，拉开超声医学的新篇章。 |
| 关键词: 新型冠状病毒肺炎 危重症 序贯超声 |
| DOI： |
| 投稿时间：2020-05-15修订日期：2020-05-27 |
| 基金项目: |
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| The value of sequential ultrasound examination in critically ill patients with new coronavirus pneumonia |
| zhangqili,lishuo,quyali,liangxiaoning,jiangyingchun,songqian,yuanyue,yeqing,kangli,guoruijun |
| (Bejing Chaoyang Hospital, Capital Medical University) |
| Abstract: |
| Abstract
Objective: To explore the clinical value of sequential ultrasound examination for critically ill patients with Corona Virus Disease 2019 (COVID-19). Methods: From January 1, 2020 to April 15, 2020, 232 pneumonia patients positive for 2019-nCoV nucleic acid test in Wuhan Jinyintan Hospital were screened. We analyzed each ultrasound examination items and results, retrospectively. Results: Ultrasound examination items of severe patients with COVID-19 include bedside echocardiography (181 cases), thoracic ultrasound (131 cases), hepatobiliary pancreas spleen ultrasound (134 cases), kidneys, ureter ultrasound (125 cases), lower extremity arteries, deep vein ultrasound (75 cases), abdominal large vessel ultrasound (51 cases), cervical vascular ultrasound (14 cases), uterus and its accessories ultrasound (4 cases), submandibular gland ultrasound (2 cases) , Bladder, prostate ultrasound (2 cases), thyroid ultrasound (24cases),adrenal ultrasound(22cases), testicles and epididymal ultrasound (1 case). The positive rates were: 92%, 100%, 87%, 68%, 81%, 61%, 43%, 75%, 50%, 50%, 75%, 9%, 100%, respectively. Conclusion: Sequential ultrasound plays an important role in the diagnosis and treatment of critically ill patients with COVID-19. Throughout the entire diagnosis and treatment of critically ill patients, clinical-sequential ultrasound will use COVID-19 as an opportunity to open a new chapter in ultrasound medicine. |
| Key words: Corona Virus Disease 2019 Sequential ultrasound Critical illness |
