Ecografía en dengue: 10 hallazgos claves

Juan Diego Galindo Dávila , Derly Mileidy Gomez Sandoval , Iván José Ardila Gómez , Doris Martha Salgado García
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Abstract

Dengue virus infection is a public health problem, especially in tropical and subtropical countries like Colombia. Vascular leakage is the central component in the pathophysiology of severe dengue and can be assessed through ultrasound. As a non-invasive method, it can be used as a tool for both diagnosis and clinical stratification, providing timely management and avoiding complications. The aim of this review is to describe key ultrasonographic points in patients with dengue exhibiting warning signs and severe dengue, with a focus on the application of the Point-of-Care Ultrasound (POCUS) strategy. Among the most common findings reported in the literature for dengue patients are thickening of the vesicular wall, pleural effusion, ascites, and pericardial effusion. The integration of POCUS training into routine clinical practice for dengue has the potential to reduce both mortality rates and healthcare costs.
登革热超声波:10 项主要发现
登革热病毒感染是一个公共卫生问题,尤其是在哥伦比亚等热带和亚热带国家。血管渗漏是重症登革热病理生理学的核心组成部分,可通过超声波进行评估。作为一种非侵入性方法,它可作为诊断和临床分层的工具,提供及时的管理并避免并发症。本综述旨在描述登革热患者出现预警征兆和重症登革热时的超声波检查要点,重点是护理点超声波检查(POCUS)策略的应用。文献报道登革热患者最常见的检查结果包括水泡壁增厚、胸腔积液、腹水和心包积液。将 POCUS 培训纳入登革热常规临床实践有可能降低死亡率和医疗成本。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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