胸部超声对非典型肺炎的评价

IF 1 Q4 RESPIRATORY SYSTEM
Ahmed Sameh Sayed, Mona Mansour Ahmed, Khaled Mohamed Wagih, Haytham Samy Diab, Ahmed Mohamed Hussein
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引用次数: 0

摘要

背景肺炎患者尽管具有不同的致病菌,但其临床表现相似;因此,需要一种快速简便的检测方法来区分两种疾病。在这里,我们使用肺部超声来区分与其他诊断方式相关的致病生物体。方法对2019年7月至2021年6月在Ain-Shams大学医院住院的67例诊断为非典型肺炎的患者进行描述性横断面研究。根据PCR结果将研究人群按病原体分为3组:1组23例(甲型流感),2组30例(COVID-19), 3组14例(非典型微生物)。纳入的患者通过12区扫描协议进行肺部超声扫描和CT扫描,中间间隔24小时。本研究经我院伦理委员会批准。结果患者平均年龄39.93±19.26 ~ 60.3±13.02 SD年;男性占64.17%。b线和胸膜增厚线2组较高,三组间差异有高度统计学意义;100%的病例在胸部超声检查中发现b线,53.3%的病例发现胸膜线增厚。3组动态支气管造影比例较高(71.4%),相关性极显著。在病毒性肺炎病例中,较高的平均Soldati评分与更严重的疾病相关。结论肺超声可作为判断非典型肺炎病因的辅助工具。在急性呼吸道疾病大流行期间,它可以通过计算修正的Soldati评分和发现最常见的发现,对患者进行快速分类和分层。此外,修改后的Soldati评分与疾病严重程度相关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment of atypical pneumonia by chest ultrasonography
Abstract Background Patients with pneumonia exhibit similar clinical presentations despite having different causative organisms; thus, a rapid and easy test is needed to differentiate between the diseases. Here, we use lung ultrasound to discriminate between causative organisms in correlation with other diagnostic modalities. Methods This descriptive cross-sectional study was carried out on 67 patients diagnosed with atypical pneumonia admitted at Ain-Shams University hospitals in the period from July 2019 to June 2021. Study population was divided into three groups according to the causative agent based on the results of PCR: Group 1 included 23 patients (influenza A), group 2 included 30 patients (COVID-19), and group 3 included 14 patients (atypical organisms). Included patients underwent lung ultrasound scan via a 12-zone scanning protocol and CT scan with 24 h in between. The present study was approved by the ethical committee at our institution. Results The mean age ranged from 39.93 ± 19.26 SD to 60.3 ± 13.02 SD years; 64.17% of them were males. There was also a highly statistically significant difference between the three groups as regard B-lines and thickened pleural line being higher among group 2; 100% of cases had B-lines in their chest ultrasound assessment, while thickened pleural line was found in 53.3% of cases. Dynamic air bronchogram was found with higher percentage in group 3 (71.4%) with a highly significant association. Higher mean Soldati score was associated with more severe disease among cases with viral pneumonia. Conclusions Lung ultrasound may be used as an aiding tool to estimate the etiology of atypical pneumonia. It can be useful during pandemics of acute respiratory diseases for rapid triage and stratification of patients as through calculation of modified Soldati score and detection of the most common finding. Also, modified Soldati score correlates with disease severity.
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来源期刊
Egyptian Journal of Bronchology
Egyptian Journal of Bronchology RESPIRATORY SYSTEM-
自引率
7.70%
发文量
56
审稿时长
9 weeks
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