肺部超聲在重癥患者的應用及研究進展_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

丁媛 ¹ , 倪佳園 ¹ , 徐榮鵬 ¹ , 馬一博 ² ,  朱濱 ¹ , 楊春 ³

1. ;
2. ;
3. ;

Corresponding?author：

朱濱, Email: drzhubin@126.com

Keywords：

DOI：

10.7507/1671-6205.202012079

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Citation： 丁媛, 倪佳園, 徐榮鵬, 馬一博, 朱濱, 楊春. 肺部超聲在重癥患者的應用及研究進展. 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(譯). 多器官床旁即時超聲在新型冠狀病毒肺炎中的應用: 國際專家共識. 中國呼吸與危重監護雜志, 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.	張斌, 吳秀, 曹薇, 等. 肺部超聲評分在呼吸重癥疾病中的應用. 中國呼吸與危重監護雜志, 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, 劉大為, 張宏民, 等. 改良床旁肺部超聲評估方案對重癥患者肺實變和肺不張的診斷價值. 中華內科雜志, 2012, 51(12): 948-951.
26.	彭倩宜, 張麗娜, 李莉, 等. 基于 BLUE-plus 方案的術后重癥監護患者肺部超聲影像特點分析. 中華超聲影像學雜志, 2017, 26(11): 976-981.
27.	歐艷, 李芳, 劉利. M-BLUE 對于急性呼吸衰竭鑒別及病因診斷中的價值. 臨床肺科雜志, 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, 陳煥, 等. 不同床旁肺部超聲評估方案評估膈肌點位置與征象的研究. 中華內科雜志, 2015, 54(9): 778-782.
30.	丁欣, 劉大為, 王小亭, 等. 俯臥位肺部超聲檢查預測急性呼吸窘迫綜合征患者俯臥位通氣的預后價值. 中華內科雜志, 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.	張磊, 俞萬鈞, 周成杰, 等. 肺部超聲評估急性呼吸窘迫綜合征患者血管外肺水及預后的臨床應用價值. 中華危重病急救醫學, 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.	賀慧為, 何招輝, 王榮勝, 等. 肺部超聲在急性呼吸窘迫綜合征患者肺復張治療中的應用. 中國呼吸與危重監護雜志, 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(譯). 多器官床旁即時超聲在新型冠狀病毒肺炎中的應用: 國際專家共識. 中國呼吸與危重監護雜志, 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. 張斌, 吳秀, 曹薇, 等. 肺部超聲評分在呼吸重癥疾病中的應用. 中國呼吸與危重監護雜志, 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, 劉大為, 張宏民, 等. 改良床旁肺部超聲評估方案對重癥患者肺實變和肺不張的診斷價值. 中華內科雜志, 2012, 51(12): 948-951.
26. 彭倩宜, 張麗娜, 李莉, 等. 基于 BLUE-plus 方案的術后重癥監護患者肺部超聲影像特點分析. 中華超聲影像學雜志, 2017, 26(11): 976-981.
27. 歐艷, 李芳, 劉利. M-BLUE 對于急性呼吸衰竭鑒別及病因診斷中的價值. 臨床肺科雜志, 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, 陳煥, 等. 不同床旁肺部超聲評估方案評估膈肌點位置與征象的研究. 中華內科雜志, 2015, 54(9): 778-782.
30. 丁欣, 劉大為, 王小亭, 等. 俯臥位肺部超聲檢查預測急性呼吸窘迫綜合征患者俯臥位通氣的預后價值. 中華內科雜志, 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. 張磊, 俞萬鈞, 周成杰, 等. 肺部超聲評估急性呼吸窘迫綜合征患者血管外肺水及預后的臨床應用價值. 中華危重病急救醫學, 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. 賀慧為, 何招輝, 王榮勝, 等. 肺部超聲在急性呼吸窘迫綜合征患者肺復張治療中的應用. 中國呼吸與危重監護雜志, 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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