PDF(Pubmed)
Abstract：
COVID-19 has been a challenging outbreak to face, with millions of deaths among the globe. Acute respiratory failure due to interstitial pneumonia was the leading cause of death other than prothrombotic activation and complications. Lung ultrasound (LUS) and point-of-care ultrasound (POCUS) are widely used not only to triage, to identify, and to monitor lungs involvement but also to assess hemodynamic status and thrombotic and hemorrhagic complications, mainly in critically ill patients. POCUS has gained growing consideration due to its bedside utilization, reliability, and reproducibility even in emergency settings especially in unstable patients. In this narrative review, we aim to describe LUS and POCUS utilization in COVID-19 infection based on the literature found on this topic. We reported the LUS patterns of COVID-19 pulmonary infection, the diagnostic accuracy with respect to CT lung scan, its prognostic value, the variety of scores and protocols proposed, and the utilization of POCUS to investigate the extra-lung complications.
摘要：
COVID-19是一场具有挑战性的疫情，全球数百万人死亡。间质性肺炎引起的急性呼吸衰竭是除血栓前活化和并发症以外的主要死亡原因。肺部超声（LUS）和定点护理超声（POCUS）不仅广泛用于分诊，为了识别，监测肺部受累，同时评估血液动力学状态以及血栓性和出血性并发症，主要是危重病人。由于床边的利用，POCUS得到了越来越多的考虑，可靠性,和可重复性，即使在紧急情况下，特别是在不稳定的患者。在这篇叙述性评论中，我们的目标是根据有关该主题的文献描述COVID-19感染中LUS和POCUS的利用。我们报道了COVID-19肺部感染的LUS模式，CT肺部扫描的诊断准确性，其预后价值，提出的各种分数和协议，并利用POCUS探讨肺外并发症。
