肺部超声在重症患者的应用及研究进展_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

丁媛 ¹ , 倪佳园 ¹ , 徐荣鹏 ¹ , 马一博 ² ,  朱滨 ¹ , 杨春 ³

1. ;
2. ;
3. ;

Corresponding author：

朱滨, Email: drzhubin@126.com

Keywords：

DOI：

10.7507/1671-6205.202012079

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Citation： 丁媛, 倪佳园, 徐荣鹏, 马一博, 朱滨, 杨春. 肺部超声在重症患者的应用及研究进展. Chinese Journal of Respiratory and Critical Care Medicine, 2021, 20(7): 522-527. doi: 10.7507/1671-6205.202012079 Copy

1.	Lichtenstein D. Lung ultrasound in the critically ill. Curr Opin Crit Care, 2014, 20(3): 315-322.
2.	Mojoli F, Bouhemad B, Mongodi S, et al. Lung ultrasound for critically ill patients. Am J Respir Crit Care Med, 2019, 199(6): 701-714.
3.	Smith MJ, Hayward SA, Innes SM, et al. Point-of-care lung ultrasound in patients with COVID-19 - a narrative review. Anaesthesia, 2020, 75(8): 1096-1104.
4.	王臻(译). 多器官床旁即时超声在新型冠状病毒肺炎中的应用: 国际专家共识. 中国呼吸与危重监护杂志, 2021, 20(2): 77-84.
5.	Koenig S, Mayo P, Volpicelli G, et al. Lung ultrasound scanning for respiratory failure in acutely ill patients: a review. Chest, 2020, 158(6): 2511-2516.
6.	Lawrence JP. Physics and instrumentation of ultrasound. Crit Care Med, 2007, 35(8): 314-322.
7.	Alonso-Ojembarrena A, Lechuga-Sancho AM, Ruiz-Gonzalez E, et al. Pleural line thickness reference values for preterm and term newborns. Pediatr Pulmonol, 2020, 55(9): 2296-2301.
8.	Moreno-Aguilar G, Lichtenstein D. Lung ultrasound in the critically ill (LUCI) and the lung point: a sign specific to pneumothorax which cannot be mimicked. Crit Care, 2015, 19(1): 311.
9.	Picano E, Pellikka PA. Ultrasound of extravascular lung water: a new standard for pulmonary congestion. Eur Heart J, 2016, 37(27): 2097-2104.
10.	Hasan AA, Makhlouf HA. B-lines: Transthoracic chest ultrasound signs useful in assessment of interstitial lung diseases. Ann Thorac Med, 2014, 9(2): 99-103.
11.	Lichtenstein DA, Mezière GA, Lagoueyte JF, et al. A-lines and B-lines: lung ultrasound as a bedside tool for predicting pulmonary artery occlusion pressure in the critically ill. Chest, 2009, 136(4): 1014-1020.
12.	Enghard P, Rademacher S, Nee J, et al. Simplified lung ultrasound protocol shows excellent prediction of extravascular lung water in ventilated intensive care patients. Crit Care, 2015, 19(1): 36.
13.	Liteplo AS, Marill KA, Villen T, et al. Emergency thoracic ultrasound in the differentiation of the etiology of shortness of breath (ETUDES): sonographic B-lines and N-terminal pro-brain-type natriuretic peptide in diagnosing congestive heart failure. Acad Emerg Med, 2009, 16(3): 201-210.
14.	Pingitore A, Garbella E, Piaggi P, et al. Early subclinical increase in pulmonary water content in athletes performing sustained heavy exercise at sea level: ultrasound lung comet-tail evidence. Am J Physiol Heart Circ Physiol, 2011, 301(5): 2161-2167.
15.	Abdel Rahman DA, Saber S, El-Maghraby A. Diaphragm and lung ultrasound indices in prediction of outcome of weaning from mechanical ventilation in pediatric intensive care unit. Indian J Pediatr, 2020, 87(6): 413-420.
16.	Haddam M, Zieleskiewicz L, Perbet S, et al. Lung ultrasonography for assessment of oxygenation response to prone position ventilation in ARDS. Intensive Care Med, 2016, 42(10): 1546-1556.
17.	张斌, 吴秀, 曹薇, 等. 肺部超声评分在呼吸重症疾病中的应用. 中国呼吸与危重监护杂志, 2019, 18(1): 93-97.
18.	Sawires HK, Abdel Ghany EA, Hussein NF, et al. Use of lung ultrasound in detection of complications of respiratory distress syndrome. Ultrasound Med Biol, 2015, 41(9): 2319-2325.
19.	Soliman SB, Ragab F, Soliman RA, et al. Chest ultrasound in predication of weaning failure. Open Access Maced J Med Sci, 2019, 7(7): 1143-1147.
20.	Noble VE, Murray AF, Capp R, et al. Ultrasound assessment for extravascular lung water in patients undergoing hemodialysis. Time course for resolution. Chest, 2009, 135(6): 1433-1439.
21.	Lichtenstein DA. BLUE-protocol and FALLS-protocol: two applications of lung ultrasound in the critically ill. Chest, 2015, 147(6): 1659-1670.
22.	Garza-Guajardo R, Garcia-Labastida LE, Rodriguez-Sanchez IP, et al. Cytological diagnosis of Rosai-Dorfman disease: a case report and revision of the literature. Biomed Rep, 2017, 6(1): 27-31.
23.	Lichtenstein DA, Meziere GA. Relevance of lung ultrasound in the diagnosis of acute respiratory failure: the BLUE protocol. Chest, 2008, 134(1): 117-125.
24.	Shah SP, Shah SP, Fils-Aime R, et al. Focused cardiopulmonary ultrasound for assessment of dyspnea in a resource-limited setting. Crit Ultrasound J, 2016, 8(1): 7.
25.	王小亭, 刘大为, 张宏民, 等. 改良床旁肺部超声评估方案对重症患者肺实变和肺不张的诊断价值. 中华内科杂志, 2012, 51(12): 948-951.
26.	彭倩宜, 张丽娜, 李莉, 等. 基于 BLUE-plus 方案的术后重症监护患者肺部超声影像特点分析. 中华超声影像学杂志, 2017, 26(11): 976-981.
27.	欧艳, 李芳, 刘利. M-BLUE 对于急性呼吸衰竭鉴别及病因诊断中的价值. 临床肺科杂志, 2020, 25(6): 857-861.
28.	Umbrello M, Formenti P, Longhi D, et al. Diaphragm ultrasound as indicator of respiratory effort in critically ill patients undergoing assisted mechanical ventilation: a pilot clinical study. Crit Care, 2015, 19(1): 161.
29.	丁欣, 王小亭, 陈焕, 等. 不同床旁肺部超声评估方案评估膈肌点位置与征象的研究. 中华内科杂志, 2015, 54(9): 778-782.
30.	丁欣, 刘大为, 王小亭, 等. 俯卧位肺部超声检查预测急性呼吸窘迫综合征患者俯卧位通气的预后价值. 中华内科杂志, 2014, 53(9): 719-723.
31.	Radermacher P, Maggiore SM, Mercat A. Fifty years of research in ARDS. Gas exchange in acute respiratory distress syndrome. Am J Respir Crit Care Med, 2017, 196(8): 964-984.
32.	Scholten EL, Beitler JR, Prisk GK, et al. Treatment of ARDS with prone positioning. Chest, 2017, 151(1): 215-224.
33.	Wang XT, Ding X, Zhang HM, et al. Lung ultrasound can be used to predict the potential of prone positioning and assess prognosis in patients with acute respiratory distress syndrome. Crit Care, 2016, 20(1): 385.
34.	Brat R, Yousef N, Klifa R, et al. Lung ultrasonography score to evaluate oxygenation and surfactant need in neonates treated with continuous positive airway pressure. JAMA Pediatr, 2015, 169(8): e151797.
35.	Shah D, Romero F, Guo Z, et al. Obesity-induced endoplasmic reticulum stress causes lung endothelial dysfunction and promotes acute lung injury. Am J Respir Cell Mol Biol, 2017, 57(2): 204-215.
36.	Ohman J, Harjola VP, Karjalainen P, et al. Focused echocardiography and lung ultrasound protocol for guiding treatment in acute heart failure. ESC Heart Fail, 2018, 5(1): 120-128.
37.	Liu J. The lung ultrasound score cannot accurately evaluate the severity of neonatal lung disease. J Ultrasound Med, 2020, 39(5): 1015-1020.
38.	Alrajab S, Youssef AM, Akkus NI, et al. Pleural ultrasonography versus chest radiography for the diagnosis of pneumothorax: review of the literature and meta-analysis. Crit Care, 2013, 17(5): 208.
39.	Santos-Silva J, Lichtenstein D, Tuinman PR, et al. The lung point, still a sign specific to pneumothorax. Intensive Care Med, 2019, 45(9): 1327-1328.
40.	Chiumello D, Mongodi S, Algieri I, et al. Assessment of lung aeration and recruitment by CT scan and ultrasound in acute respiratory distress syndrome patients. Crit Care Med, 2018, 46(11): 1761-1768.
41.	Mallamaci F, Benedetto FA, Tripepi R, et al. Detection of pulmonary congestion by chest ultrasound in dialysis patients. JACC Cardiovasc Imaging, 2010, 3(6): 586-594.
42.	Pivetta E, Goffi A, Lupia E, et al. Lung ultrasound-implemented diagnosis of acute decompensated heart failure in the ED: a SIMEU multicenter study. Chest, 2015, 148(1): 202-210.
43.	Blanco PA, Cianciulli TF. Pulmonary edema assessed by ultrasound: impact in cardiology and intensive care practice. Echocardiography, 2016, 33(5): 778-787.
44.	Baston C, West TE. Lung ultrasound in acute respiratory distress syndrome and beyond. J Thorac Dis, 2016, 8(12): 1763-1766.
45.	Bass CM, Sajed DR, Adedipe AA, et al. Pulmonary ultrasound and pulse oximetry versus chest radiography and arterial blood gas analysis for the diagnosis of acute respiratory distress syndrome: a pilot study. Crit Care, 2015, 19(1): 282.
46.	Lichter Y, Topilsky Y, Taieb P, et al. Lung ultrasound predicts clinical course and outcomes in COVID-19 patients. Intensive Care Med, 2020, 46(10): 1873-1883.
47.	Prina E, Torres A, Carvalho CR. Lung ultrasound in the evaluation of pleural effusion. J Bras Pneumol, 2014, 40(1): 1-5.
48.	Perazzo A, Gatto P, Barlascini C, et al. Can ultrasound guidance reduce the risk of pneumothorax following thoracentesis?. J Bras Pneumol, 2014, 40(1): 6-12.
49.	Shojaee S, Argento AC. Ultrasound-guided pleural access. Semin Respir Crit Care Med, 2014, 35(6): 693-705.
50.	Singh A, Gupta A, Sen MK, et al. Utility of bedside lung ultrasound for assessment of lung recruitment in a case of acute respiratory distress syndrome. Lung India, 2019, 36(5): 451-456.
51.	Martin Vivas A, Saboya Sanchez S, Patino Rodriguez M, et al. Hemodynamic monitoring: PiCCO system. Enferm Intensiva, 2008, 19(3): 132-140.
52.	张磊, 俞万钧, 周成杰, 等. 肺部超声评估急性呼吸窘迫综合征患者血管外肺水及预后的临床应用价值. 中华危重病急救医学, 2020, 32(5): 585-589.
53.	Volpicelli G, Skurzak S, Boero E, et al. Lung ultrasound predicts well extravascular lung water but is of limited usefulness in the prediction of wedge pressure. Anesthesiology, 2014, 121(2): 320-327.
54.	贺慧为, 何招辉, 王荣胜, 等. 肺部超声在急性呼吸窘迫综合征患者肺复张治疗中的应用. 中国呼吸与危重监护杂志, 2017, 16(6): 591-594.
55.	Gardelli G, Feletti F, Gamberini E, et al. Using sonography to assess lung recruitment in patients with acute respiratory distress syndrome. Emerg Radiol, 2009, 16(3): 219-221.

1. Lichtenstein D. Lung ultrasound in the critically ill. Curr Opin Crit Care, 2014, 20(3): 315-322.
2. Mojoli F, Bouhemad B, Mongodi S, et al. Lung ultrasound for critically ill patients. Am J Respir Crit Care Med, 2019, 199(6): 701-714.
3. Smith MJ, Hayward SA, Innes SM, et al. Point-of-care lung ultrasound in patients with COVID-19 - a narrative review. Anaesthesia, 2020, 75(8): 1096-1104.
4. 王臻(译). 多器官床旁即时超声在新型冠状病毒肺炎中的应用: 国际专家共识. 中国呼吸与危重监护杂志, 2021, 20(2): 77-84.
5. Koenig S, Mayo P, Volpicelli G, et al. Lung ultrasound scanning for respiratory failure in acutely ill patients: a review. Chest, 2020, 158(6): 2511-2516.
6. Lawrence JP. Physics and instrumentation of ultrasound. Crit Care Med, 2007, 35(8): 314-322.
7. Alonso-Ojembarrena A, Lechuga-Sancho AM, Ruiz-Gonzalez E, et al. Pleural line thickness reference values for preterm and term newborns. Pediatr Pulmonol, 2020, 55(9): 2296-2301.
8. Moreno-Aguilar G, Lichtenstein D. Lung ultrasound in the critically ill (LUCI) and the lung point: a sign specific to pneumothorax which cannot be mimicked. Crit Care, 2015, 19(1): 311.
9. Picano E, Pellikka PA. Ultrasound of extravascular lung water: a new standard for pulmonary congestion. Eur Heart J, 2016, 37(27): 2097-2104.
10. Hasan AA, Makhlouf HA. B-lines: Transthoracic chest ultrasound signs useful in assessment of interstitial lung diseases. Ann Thorac Med, 2014, 9(2): 99-103.
11. Lichtenstein DA, Mezière GA, Lagoueyte JF, et al. A-lines and B-lines: lung ultrasound as a bedside tool for predicting pulmonary artery occlusion pressure in the critically ill. Chest, 2009, 136(4): 1014-1020.
12. Enghard P, Rademacher S, Nee J, et al. Simplified lung ultrasound protocol shows excellent prediction of extravascular lung water in ventilated intensive care patients. Crit Care, 2015, 19(1): 36.
13. Liteplo AS, Marill KA, Villen T, et al. Emergency thoracic ultrasound in the differentiation of the etiology of shortness of breath (ETUDES): sonographic B-lines and N-terminal pro-brain-type natriuretic peptide in diagnosing congestive heart failure. Acad Emerg Med, 2009, 16(3): 201-210.
14. Pingitore A, Garbella E, Piaggi P, et al. Early subclinical increase in pulmonary water content in athletes performing sustained heavy exercise at sea level: ultrasound lung comet-tail evidence. Am J Physiol Heart Circ Physiol, 2011, 301(5): 2161-2167.
15. Abdel Rahman DA, Saber S, El-Maghraby A. Diaphragm and lung ultrasound indices in prediction of outcome of weaning from mechanical ventilation in pediatric intensive care unit. Indian J Pediatr, 2020, 87(6): 413-420.
16. Haddam M, Zieleskiewicz L, Perbet S, et al. Lung ultrasonography for assessment of oxygenation response to prone position ventilation in ARDS. Intensive Care Med, 2016, 42(10): 1546-1556.
17. 张斌, 吴秀, 曹薇, 等. 肺部超声评分在呼吸重症疾病中的应用. 中国呼吸与危重监护杂志, 2019, 18(1): 93-97.
18. Sawires HK, Abdel Ghany EA, Hussein NF, et al. Use of lung ultrasound in detection of complications of respiratory distress syndrome. Ultrasound Med Biol, 2015, 41(9): 2319-2325.
19. Soliman SB, Ragab F, Soliman RA, et al. Chest ultrasound in predication of weaning failure. Open Access Maced J Med Sci, 2019, 7(7): 1143-1147.
20. Noble VE, Murray AF, Capp R, et al. Ultrasound assessment for extravascular lung water in patients undergoing hemodialysis. Time course for resolution. Chest, 2009, 135(6): 1433-1439.
21. Lichtenstein DA. BLUE-protocol and FALLS-protocol: two applications of lung ultrasound in the critically ill. Chest, 2015, 147(6): 1659-1670.
22. Garza-Guajardo R, Garcia-Labastida LE, Rodriguez-Sanchez IP, et al. Cytological diagnosis of Rosai-Dorfman disease: a case report and revision of the literature. Biomed Rep, 2017, 6(1): 27-31.
23. Lichtenstein DA, Meziere GA. Relevance of lung ultrasound in the diagnosis of acute respiratory failure: the BLUE protocol. Chest, 2008, 134(1): 117-125.
24. Shah SP, Shah SP, Fils-Aime R, et al. Focused cardiopulmonary ultrasound for assessment of dyspnea in a resource-limited setting. Crit Ultrasound J, 2016, 8(1): 7.
25. 王小亭, 刘大为, 张宏民, 等. 改良床旁肺部超声评估方案对重症患者肺实变和肺不张的诊断价值. 中华内科杂志, 2012, 51(12): 948-951.
26. 彭倩宜, 张丽娜, 李莉, 等. 基于 BLUE-plus 方案的术后重症监护患者肺部超声影像特点分析. 中华超声影像学杂志, 2017, 26(11): 976-981.
27. 欧艳, 李芳, 刘利. M-BLUE 对于急性呼吸衰竭鉴别及病因诊断中的价值. 临床肺科杂志, 2020, 25(6): 857-861.
28. Umbrello M, Formenti P, Longhi D, et al. Diaphragm ultrasound as indicator of respiratory effort in critically ill patients undergoing assisted mechanical ventilation: a pilot clinical study. Crit Care, 2015, 19(1): 161.
29. 丁欣, 王小亭, 陈焕, 等. 不同床旁肺部超声评估方案评估膈肌点位置与征象的研究. 中华内科杂志, 2015, 54(9): 778-782.
30. 丁欣, 刘大为, 王小亭, 等. 俯卧位肺部超声检查预测急性呼吸窘迫综合征患者俯卧位通气的预后价值. 中华内科杂志, 2014, 53(9): 719-723.
31. Radermacher P, Maggiore SM, Mercat A. Fifty years of research in ARDS. Gas exchange in acute respiratory distress syndrome. Am J Respir Crit Care Med, 2017, 196(8): 964-984.
32. Scholten EL, Beitler JR, Prisk GK, et al. Treatment of ARDS with prone positioning. Chest, 2017, 151(1): 215-224.
33. Wang XT, Ding X, Zhang HM, et al. Lung ultrasound can be used to predict the potential of prone positioning and assess prognosis in patients with acute respiratory distress syndrome. Crit Care, 2016, 20(1): 385.
34. Brat R, Yousef N, Klifa R, et al. Lung ultrasonography score to evaluate oxygenation and surfactant need in neonates treated with continuous positive airway pressure. JAMA Pediatr, 2015, 169(8): e151797.
35. Shah D, Romero F, Guo Z, et al. Obesity-induced endoplasmic reticulum stress causes lung endothelial dysfunction and promotes acute lung injury. Am J Respir Cell Mol Biol, 2017, 57(2): 204-215.
36. Ohman J, Harjola VP, Karjalainen P, et al. Focused echocardiography and lung ultrasound protocol for guiding treatment in acute heart failure. ESC Heart Fail, 2018, 5(1): 120-128.
37. Liu J. The lung ultrasound score cannot accurately evaluate the severity of neonatal lung disease. J Ultrasound Med, 2020, 39(5): 1015-1020.
38. Alrajab S, Youssef AM, Akkus NI, et al. Pleural ultrasonography versus chest radiography for the diagnosis of pneumothorax: review of the literature and meta-analysis. Crit Care, 2013, 17(5): 208.
39. Santos-Silva J, Lichtenstein D, Tuinman PR, et al. The lung point, still a sign specific to pneumothorax. Intensive Care Med, 2019, 45(9): 1327-1328.
40. Chiumello D, Mongodi S, Algieri I, et al. Assessment of lung aeration and recruitment by CT scan and ultrasound in acute respiratory distress syndrome patients. Crit Care Med, 2018, 46(11): 1761-1768.
41. Mallamaci F, Benedetto FA, Tripepi R, et al. Detection of pulmonary congestion by chest ultrasound in dialysis patients. JACC Cardiovasc Imaging, 2010, 3(6): 586-594.
42. Pivetta E, Goffi A, Lupia E, et al. Lung ultrasound-implemented diagnosis of acute decompensated heart failure in the ED: a SIMEU multicenter study. Chest, 2015, 148(1): 202-210.
43. Blanco PA, Cianciulli TF. Pulmonary edema assessed by ultrasound: impact in cardiology and intensive care practice. Echocardiography, 2016, 33(5): 778-787.
44. Baston C, West TE. Lung ultrasound in acute respiratory distress syndrome and beyond. J Thorac Dis, 2016, 8(12): 1763-1766.
45. Bass CM, Sajed DR, Adedipe AA, et al. Pulmonary ultrasound and pulse oximetry versus chest radiography and arterial blood gas analysis for the diagnosis of acute respiratory distress syndrome: a pilot study. Crit Care, 2015, 19(1): 282.
46. Lichter Y, Topilsky Y, Taieb P, et al. Lung ultrasound predicts clinical course and outcomes in COVID-19 patients. Intensive Care Med, 2020, 46(10): 1873-1883.
47. Prina E, Torres A, Carvalho CR. Lung ultrasound in the evaluation of pleural effusion. J Bras Pneumol, 2014, 40(1): 1-5.
48. Perazzo A, Gatto P, Barlascini C, et al. Can ultrasound guidance reduce the risk of pneumothorax following thoracentesis?. J Bras Pneumol, 2014, 40(1): 6-12.
49. Shojaee S, Argento AC. Ultrasound-guided pleural access. Semin Respir Crit Care Med, 2014, 35(6): 693-705.
50. Singh A, Gupta A, Sen MK, et al. Utility of bedside lung ultrasound for assessment of lung recruitment in a case of acute respiratory distress syndrome. Lung India, 2019, 36(5): 451-456.
51. Martin Vivas A, Saboya Sanchez S, Patino Rodriguez M, et al. Hemodynamic monitoring: PiCCO system. Enferm Intensiva, 2008, 19(3): 132-140.
52. 张磊, 俞万钧, 周成杰, 等. 肺部超声评估急性呼吸窘迫综合征患者血管外肺水及预后的临床应用价值. 中华危重病急救医学, 2020, 32(5): 585-589.
53. Volpicelli G, Skurzak S, Boero E, et al. Lung ultrasound predicts well extravascular lung water but is of limited usefulness in the prediction of wedge pressure. Anesthesiology, 2014, 121(2): 320-327.
54. 贺慧为, 何招辉, 王荣胜, 等. 肺部超声在急性呼吸窘迫综合征患者肺复张治疗中的应用. 中国呼吸与危重监护杂志, 2017, 16(6): 591-594.
55. Gardelli G, Feletti F, Gamberini E, et al. Using sonography to assess lung recruitment in patients with acute respiratory distress syndrome. Emerg Radiol, 2009, 16(3): 219-221.

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肺部超声在重症患者的应用及研究进展

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