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中华肺部疾病杂志(电子版) ›› 2023, Vol. 16 ›› Issue (06) : 892 -894. doi: 10.3877/cma.j.issn.1674-6902.2023.06.036

短篇论著

肺超声纹理特征ARDS与心源性肺水肿的鉴别诊断意义
刘珂, 张婧娴(), 王如刚   
  1. 017010 内蒙古,鄂尔多斯市中心医院超声科
    017010 内蒙古,鄂尔多斯市中心医院呼吸内科
  • 收稿日期:2023-09-13 出版日期:2023-12-25
  • 通信作者: 张婧娴
  • 基金资助:
    内蒙古自治区科技计划项目(2022YFSH0003218)

Significance of differential diagnosis between ARDS and cardiogenic pulmonary edema by ultrasonography

Ke Liu, Jingxian Zhang(), Rugang Wang   

  • Received:2023-09-13 Published:2023-12-25
  • Corresponding author: Jingxian Zhang
引用本文:

刘珂, 张婧娴, 王如刚. 肺超声纹理特征ARDS与心源性肺水肿的鉴别诊断意义[J]. 中华肺部疾病杂志(电子版), 2023, 16(06): 892-894.

Ke Liu, Jingxian Zhang, Rugang Wang. Significance of differential diagnosis between ARDS and cardiogenic pulmonary edema by ultrasonography[J]. Chinese Journal of Lung Diseases(Electronic Edition), 2023, 16(06): 892-894.

继发于肺水肿的呼吸衰竭是常见重症疾病,主要特征为血管外肺水(extravascular lung water, EVLW)异常积聚[1,2,3]。肺毛细血管通透性增加是急性呼吸窘迫综合征(acute respiratory distress syndrome, ARDS)等非心源性肺水肿发生潜在机制,肺毛细血管流体静压增加是心源性肺水肿呼吸困难主要原因[4,5]。实验室检查或胸部平片诊断肺水肿,受主观性限制及重叠的临床体征和混杂因素影响,难以明确EVLW增加原因以鉴别ARDS和心源性肺水肿[6,7]。肺超声检查广泛应用于肺通气和血管外水含量,胸膜线水平产生的伪影数量、分布反应肺通气情况,不受其他因素影响,有助于区分心源性肺水肿和非心源性肺水肿[8,9]。灰度共生矩阵的超声图像纹理特征可诊断和分类[10,11]。本文对我院收治的47例呼吸衰竭患者经肺超声纹理特征诊断ARDS和心源性肺水肿进行分析,报道如下。

表1 两组患者血流动力学参数结果
表2 两组患者肺超声纹理特征结果比较(±s)
表3 肺超声纹理特征在ARDS和心源性肺水肿的诊断结果
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