LI Xia, MO Xiaoyuan, MA Huayi. Application progress of lung ultrasound in ventilator-associated pneumonia. [J]. Journal of Clinical Ultrasound in Medicine 22(12):931-933(2020)
LI Xia, MO Xiaoyuan, MA Huayi. Application progress of lung ultrasound in ventilator-associated pneumonia. [J]. Journal of Clinical Ultrasound in Medicine 22(12):931-933(2020) DOI: 10.16245/j.cnki.issn1008-6978.2020.12.021.
Application progress of lung ultrasound in ventilator-associated pneumonia
摘要
呼吸机相关性肺炎(VAP)是最常见的ICU获得性感染
患者死亡率高
常规诊断方法包括肺部X线检查和胸部CT检查
对危重患者行每日常规检查也相对困难。肺部超声是诊断社区获得性肺炎的可靠方法
但其在VAP中的诊断作用有待进一步探讨
本文就VAP的诊断现状
以及肺部超声在VAP中的应用、随访和动态监测进行综述。
Abstract
Ventilator-associated pneumonia(VAP)is the most frequent intensive care unit-acquired infection that is independently associated with high mortality rate.Chest-X-ray and CT imaging are used for conventional assessment of VAP
but these examinations are unreliable in daily practice for critically ill patients.Lung ultrasound is a reliable tool to diagnose community-acquired pneumonia.However
its diagnostic value in VAP needs to be further explored. This paper reviews the current diagnosis
the application
follow-up and dynamic monitoring of lung ultrasound in VAP.