即时超声诊断肺水肿的效用是什么？

IF 1.3 4区医学 Q3 EMERGENCY MEDICINE

Journal of Emergency Medicine Pub Date : 2025-07-18 DOI:10.1016/j.jemermed.2025.07.024

Kristine Jeffers MD , Samuel M. Keim MD, MS , Brit Long MD , Michael Gottlieb MD , Srikar R. Adhikari MD, MS

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引用次数: 0

摘要

背景：呼吸困难是急诊科处理的常见症状，其差异很大。即时超声（POCUS）可以帮助诊断多种疾病，包括肺水肿。临床问题POCUS在诊断肺水肿中的作用是什么？证据回顾：检索到的研究包括7项系统综述和荟萃分析，评估POCUS在诊断肺水肿中的应用。这些研究提供了POCUS潜在效用的估计，敏感性在83% - 97%之间，特异性在84-98%之间，阳性似然比在4.8-12.4之间，阴性似然比在0.06-0.189之间。结论根据现有文献，POCUS可可靠诊断肺水肿。

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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What is the Utility of Point-of-Care Ultrasound for Diagnosing Pulmonary Edema?

Background

Dyspnea is a common symptom managed in the emergency department, which has a wide differential. Point-of-care ultrasound (POCUS) may assist in diagnosing several conditions, including pulmonary edema.

Clinical Question

What is the utility of POCUS for diagnosing pulmonary edema?

Evidence Review

Studies retrieved included seven systematic reviews and meta-analyses evaluating the use of POCUS for diagnosing pulmonary edema. These studies provide estimates of the potential utility of POCUS, with sensitivity ranging between 83% and 97%, specificity 84–98%, positive likelihood ratio 4.8–12.4, and negative likelihood ratio 0.06–0.189.

Conclusion

Based upon the available literature, POCUS can reliably diagnose pulmonary edema.

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来源期刊

Journal of Emergency Medicine 医学-急救医学

CiteScore

2.40

自引率

6.70%

发文量

339

审稿时长

2-4 weeks

期刊介绍： The Journal of Emergency Medicine is an international, peer-reviewed publication featuring original contributions of interest to both the academic and practicing emergency physician. JEM, published monthly, contains research papers and clinical studies as well as articles focusing on the training of emergency physicians and on the practice of emergency medicine. The Journal features the following sections: • Original Contributions • Clinical Communications: Pediatric, Adult, OB/GYN • Selected Topics: Toxicology, Prehospital Care, The Difficult Airway, Aeromedical Emergencies, Disaster Medicine, Cardiology Commentary, Emergency Radiology, Critical Care, Sports Medicine, Wound Care • Techniques and Procedures • Technical Tips • Clinical Laboratory in Emergency Medicine • Pharmacology in Emergency Medicine • Case Presentations of the Harvard Emergency Medicine Residency • Visual Diagnosis in Emergency Medicine • Medical Classics • Emergency Forum • Editorial(s) • Letters to the Editor • Education • Administration of Emergency Medicine • International Emergency Medicine • Computers in Emergency Medicine • Violence: Recognition, Management, and Prevention • Ethics • Humanities and Medicine • American Academy of Emergency Medicine • AAEM Medical Student Forum • Book and Other Media Reviews • Calendar of Events • Abstracts • Trauma Reports • Ultrasound in Emergency Medicine