肺部超声评分在呼吸重症疾病中的应用_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

张斌 , 吴秀 , 曹薇 ,  王胜昱

西安医学院第一附属医院呼吸与危重症医学科（陕西西安 710077）;

Corresponding author：

王胜昱, Email: wangshengyu@yeah.net

Keywords：

DOI：

10.7507/1671-6205.201707025

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Citation： 张斌, 吴秀, 曹薇, 王胜昱. 肺部超声评分在呼吸重症疾病中的应用. Chinese Journal of Respiratory and Critical Care Medicine, 2019, 18(1): 93-97. doi: 10.7507/1671-6205.201707025 Copy

1.	Bouhemad B, Zhang M, Lu Q, et al. Clinical review: Bedside lung ultrasound in critical care practice. Crit Care, 2007, 11(1): 205.
2.	Peterson D, Arntfield R. Critical care ultrasonography. Emerg Med Clin North Am, 2014, 32(4): 907-926.
3.	Koenig SJ, Narasimhan M, Mayo PH. Thoracic ultrasonography for the pulmonary specialist. Chest, 2011, 140(5): 1332-1341.
4.	Reissig A, Copetti R, Kroegel C. Current role of emergency ultrasound of the chest. Crit Care Med, 2011, 39(4): 839-845.
5.	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): R208.
6.	Smargiassi A, Inchingolo R, Soldati G, et al. The role of chest ultrasonography in the management of respiratory diseases: document II. Multidiscip Respir Med, 2013, 8(1): 55.
7.	Burnham EL, Hyzy RC, Paine R, et al. Detection of fibroproliferation by chest high-resolution CT scan in resolving ARDS. Chest, 2014, 146(5): 1196-1204.
8.	夏露花, 吕富荣, 王伊, 等. 尘肺观察对象的 CT 定量分析. 南方医科大学学报, 2012, 32(12): 1768-1772.
9.	Bouhemad B, Liu ZH, Arbelot C, et al. Ultrasound assessment of antibiotic-induced pulmonary reaeration in ventilator-associated pneumonia. Crit Care Med, 2010, 38(1): 84-92.
10.	Dexheimer Neto FL, Dalcin Pde T, Teixeira C, et al. Lung ultrasound in critically ill patients: a new diagnostic tool. J Bras Pneumol, 2012, 38(2): 246-256.
11.	Gargani L, Frassi F, Soldati G, et al. Ultrasound lung comets for the differential diagnosis of acute cardiogenic dyspnoea: a comparison with natriuretic peptides. Eur J Heart Fail, 2008, 10(1): 70-77.
12.	Lichtenstein DA, Mezière GA. Relevance of lung ultrasound in the diagnosis of acute respiratory failure: the BLUE protocol. Chest, 2008, 134(1): 117-125.
13.	Bouhemad B, Brisson H, Le-Guen M, et al. Bedside ultrasound assessment of positive end-expiratory pressure-induced lung recruitment. Am J Respir Crit Care Med, 2011, 183(3): 341-347.
14.	Chiumello D. Bedside ultrasound assessment of positive end expiratory pressure-induced lung recruitment. Am J Respir Crit Care Med, 2012, 185(4): 457-458.
15.	Peniston Feliciano H, Mahapatra S. Acute respiratory distress syndrome (ARDS). in StatPearls. 2017: Treasure Island (FL).
16.	Umbrello M, Formenti P, Bolgiaghi L, et al. Current concepts of ARDS: a narrative review. Int J Mol Sci, 2016, 18(1): E64.
17.	Irish Critical Care Trials G. Acute lung injury and the acute respiratory distress syndrome in Ireland: a prospective audit of epidemiology and management. Crit Care, 2008, 12(1): R30.
18.	Confalonieri M, Salton F, Fabiano F. Acute respiratory distress syndrome. Eur Respir Rev, 2017, 26(144): pii 160116.
19.	Mason C, Dooley N, Griffiths M. Acute respiratory distress syndrome. Clin Med (Lond), 2016, 16: s66-s70.
20.	Lichtenstein D, Goldstein I, Mourgeon E, et al. Comparative diagnostic performances of auscultation, chest radiography, and lung ultrasonography in acute respiratory distress syndrome. Anesthesiology, 2004, 100(1): 9-15.
21.	Belser JA, Gustin KM, Pearce MB, et al. Pathogenesis and transmission of avian influenza A (H7N9) virus in ferrets and mice. Nature, 2013, 501(7468): 556-559.
22.	Zhou J, Wang D, Gao R, et al. Biological features of novel avian influenza A (H7N9) virus. Nature, 2013, 499(7459): 500-503.
23.	Wang Q, Zhang Z, Shi Y, et al. Emerging H7N9 influenza A (novel reassortant avian-origin) pneumonia: radiologic findings. Radiology, 2013, 268(3): 882-889.
24.	Gao HN, Lu HZ, Cao B, et al. Clinical findings in 111 cases of influenza A (H7N9) virus infection. N Engl J Med, 2013, 368(24): 2277-2285.
25.	Centers for Disease C. Prevention, Emergence of avian influenza A (H7N9) virus causing severe human illness - China, February-April 2013. MMWR Morb Mortal Wkly Rep, 2013, 62(18): 366-371.
26.	Guan Y, Farooqui A, Zhu H, et al. H7N9 Incident, immune status, the elderly and a warning of an influenza pandemic. J Infect Dev Ctries, 2013, 7(4): 302-307.
27.	Bertran K, Perez-Ramirez E, Busquets N, et al. Pathogenesis and transmissibility of highly (H7N1) and low (H7N9) pathogenic avian influenza virus infection in red-legged partridge (Alectoris rufa). Vet Res, 2011, 42: 24.
28.	Shen P, Zong YM, Shu J, et al. Dynamic assessment of lung injury by ultrasound in a case with H7N9 influenza. Crit Care, 2013, 17(3): 438.
29.	Zhang YK, Li J, Yang JP, et al. Lung ultrasonography for the diagnosis of 11 patients with acute respiratory distress syndrome due to bird flu H7N9 infection. Virol J, 2015, 12: 176.
30.	Caltabeloti F, Monsel A, Arbelot C, et al. Early fluid loading in acute respiratory distress syndrome with septic shock deteriorates lung aeration without impairing arterial oxygenation: a lung ultrasound observational study. Crit Care, 2014, 18(3): R91.
31.	Zhao Z, Jiang L, Xi X, et al. Prognostic value of extravascular lung water assessed with lung ultrasound score by chest sonography in patients with acute respiratory distress syndrome. BMC Pulm Med, 2015, 15: 98.
32.	Effros RM, Pornsuriyasak P, Porszasz J, et al. Indicator dilution measurements of extravascular lung water: basic assumptions and observations. Am J Physiol Lung Cell Mol Physiol, 2008, 294(6): L1023-1031.
33.	李莲花, 杨倩, 李黎明, 等. 肺部超声评分评估急性呼吸窘迫综合征患者病情严重程度及预后的价值. 中国危重急救医学, 2015, 27(7): 579-584.
34.	Spalding MC, Cripps MW, Minshall CT. Ventilator-associated pneumonia: new definitions. Crit Care Clin, 2017, 33(2): 277-292.
35.	Guillamet CV, Kollef MH. Update on ventilator-associated pneumonia. Curr Opin Crit Care, 2015, 21(5): 430-438.
36.	Lipovy B, Rihova H, Gregorova N, et al. Epidemiology of ventilator-associated tracheobronchitis and vantilator-associated pneumonia in patients with inhalation injury at the Burn Centre in Brno (Czech Republic). Ann Burns Fire Disasters, 2011, 24(3): 120-125.
37.	Leblebicioglu H, Erben N, Rosenthal VD, et al. International Nosocomial Infection Control Consortium (INICC) national report on device-associated infection rates in 19 cities of Turkey, data summary for 2003-2012. Ann Clin Microbiol Antimicrob, 2014, 13: 51.
38.	Rosenthal VD, Maki DG, Mehta Y, et al. International Nosocomial Infection Control Consortium (INICC) report, data summary of 43 countries for 2007-2012. Device-associated module. Am J Infect Control, 2014, 42(9): 942-956.
39.	Arabi Y, Al-Shirawi N, Memish Z, et al. Ventilator-associated pneumonia in adults in developing countries: a systematic review. Int J Infect Dis, 2008, 12(5): 505-512.
40.	Zhang Y, Yao Z, Zhan S, et al. Disease burden of intensive care unit-acquired pneumonia in China: a systematic review and meta-analysis. Int J Infect Dis, 2014, 29: 84-90.
41.	Pugin J, Auckenthaler R, Mili N, et al. Diagnosis of ventilator-associated pneumonia by bacteriologic analysis of bronchoscopic and nonbronchoscopic "blind" bronchoalveolar lavage fluid. Am Rev Respir Dis, 1991, 143(5 Pt 1): 1121-1129.
42.	李黎明, 李莲花, 关键, 等. 肺部超声评分在呼吸机相关性肺炎疗效评价中的作用. 中华内科杂志, 2016, 55(12): 950-952.
43.	Mongodi S, Via G, Girard M, et al. Lung ultrasound for early diagnosis of ventilator-associated pneumonia. Chest, 2016, 149(4): 969-980.
44.	Martin GS, Eaton S, Mealer M, et al. Extravascular lung water in patients with severe sepsis: a prospective cohort study. Crit Care, 2005, 9(2): R74-82.
45.	Chung FT, Lin HC, Kuo CH, et al. Extravascular lung water correlates multiorgan dysfunction syndrome and mortality in sepsis. PLoS One, 2010, 5(12): e15265.
46.	Sturgess DJ, Marwick TH, Joyce C, et al. Prediction of hospital outcome in septic shock: a prospective comparison of tissue Doppler and cardiac biomarkers. Crit Care, 2010, 14(2): R44.
47.	Etchecopar-Chevreuil C, Francois B, Clavel M, et al. Cardiac morphological and functional changes during early septic shock: a transesophageal echocardiographic study. Intensive Care Med, 2008, 34(2): 250-256.
48.	Pulido JN, Afessa B, Masaki M, et al. Clinical spectrum, frequency, and significance of myocardial dysfunction in severe sepsis and septic shock. Mayo Clin Proc, 2012, 87(7): 620-628.
49.	Nagueh SF, Middleton KJ, Kopelen HA, et al. Doppler tissue imaging: a noninvasive technique for evaluation of left ventricular relaxation and estimation of filling pressures. J Am Coll Cardiol, 1997, 30(6): 1527-1533.
50.	Bouhemad B, Nicolas-Robin A, Benois A, et al. Echocardiographic Doppler assessment of pulmonary capillary wedge pressure in surgical patients with postoperative circulatory shock and acute lung injury. Anesthesiology, 2003, 98(5): 1091-1100.
51.	Combes A, Arnoult F, Trouillet JL. Tissue Doppler imaging estimation of pulmonary artery occlusion pressure in ICU patients. Intensive Care Med, 2004, 30(1): 75-81.
52.	Vignon P, AitHssain A, Francois B, et al. Echocardiographic assessment of pulmonary artery occlusion pressure in ventilated patients: a transoesophageal study. Crit Care, 2008, 12(1): R18.
53.	Chew MS. Haemodynamic monitoring using echocardiography in the critically ill: a review. Cardiol Res Pract, 2012: 139537.
54.	尹万红, 李易, 秦瑶, 等. 二尖瓣舒张早期血流峰速度与瓣环运动速度比值在评价严重脓毒症肺水肿中的价值. 四川大学学报(医学版), 2016, 47(4): 580-583.
55.	Fadila M, Regunath H. Ventilator weaning. in StatPearls. 2017: Treasure Island (FL).
56.	Bell L. Safe weaning from mechanical ventilation. Am J Crit Care, 2015, 24(2): 130.
57.	Boles JM, Bion J, Connors A, et al. Weaning from mechanical ventilation. Eur Respir J, 2007, 29(5): 1033-1056.
58.	Shaikh H, Morales D, Laghi F. Weaning from mechanical ventilation. Semin Respir Crit Care Med, 2014, 35(4): 451-468.
59.	Soummer A, Perbet S, Brisson H, et al. Ultrasound assessment of lung aeration loss during a successful weaning trial predicts postextubation distress. Crit Care Med, 2012, 40(7): 2064-2072.

1. Bouhemad B, Zhang M, Lu Q, et al. Clinical review: Bedside lung ultrasound in critical care practice. Crit Care, 2007, 11(1): 205.
2. Peterson D, Arntfield R. Critical care ultrasonography. Emerg Med Clin North Am, 2014, 32(4): 907-926.
3. Koenig SJ, Narasimhan M, Mayo PH. Thoracic ultrasonography for the pulmonary specialist. Chest, 2011, 140(5): 1332-1341.
4. Reissig A, Copetti R, Kroegel C. Current role of emergency ultrasound of the chest. Crit Care Med, 2011, 39(4): 839-845.
5. 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): R208.
6. Smargiassi A, Inchingolo R, Soldati G, et al. The role of chest ultrasonography in the management of respiratory diseases: document II. Multidiscip Respir Med, 2013, 8(1): 55.
7. Burnham EL, Hyzy RC, Paine R, et al. Detection of fibroproliferation by chest high-resolution CT scan in resolving ARDS. Chest, 2014, 146(5): 1196-1204.
8. 夏露花, 吕富荣, 王伊, 等. 尘肺观察对象的 CT 定量分析. 南方医科大学学报, 2012, 32(12): 1768-1772.
9. Bouhemad B, Liu ZH, Arbelot C, et al. Ultrasound assessment of antibiotic-induced pulmonary reaeration in ventilator-associated pneumonia. Crit Care Med, 2010, 38(1): 84-92.
10. Dexheimer Neto FL, Dalcin Pde T, Teixeira C, et al. Lung ultrasound in critically ill patients: a new diagnostic tool. J Bras Pneumol, 2012, 38(2): 246-256.
11. Gargani L, Frassi F, Soldati G, et al. Ultrasound lung comets for the differential diagnosis of acute cardiogenic dyspnoea: a comparison with natriuretic peptides. Eur J Heart Fail, 2008, 10(1): 70-77.
12. Lichtenstein DA, Mezière GA. Relevance of lung ultrasound in the diagnosis of acute respiratory failure: the BLUE protocol. Chest, 2008, 134(1): 117-125.
13. Bouhemad B, Brisson H, Le-Guen M, et al. Bedside ultrasound assessment of positive end-expiratory pressure-induced lung recruitment. Am J Respir Crit Care Med, 2011, 183(3): 341-347.
14. Chiumello D. Bedside ultrasound assessment of positive end expiratory pressure-induced lung recruitment. Am J Respir Crit Care Med, 2012, 185(4): 457-458.
15. Peniston Feliciano H, Mahapatra S. Acute respiratory distress syndrome (ARDS). in StatPearls. 2017: Treasure Island (FL).
16. Umbrello M, Formenti P, Bolgiaghi L, et al. Current concepts of ARDS: a narrative review. Int J Mol Sci, 2016, 18(1): E64.
17. Irish Critical Care Trials G. Acute lung injury and the acute respiratory distress syndrome in Ireland: a prospective audit of epidemiology and management. Crit Care, 2008, 12(1): R30.
18. Confalonieri M, Salton F, Fabiano F. Acute respiratory distress syndrome. Eur Respir Rev, 2017, 26(144): pii 160116.
19. Mason C, Dooley N, Griffiths M. Acute respiratory distress syndrome. Clin Med (Lond), 2016, 16: s66-s70.
20. Lichtenstein D, Goldstein I, Mourgeon E, et al. Comparative diagnostic performances of auscultation, chest radiography, and lung ultrasonography in acute respiratory distress syndrome. Anesthesiology, 2004, 100(1): 9-15.
21. Belser JA, Gustin KM, Pearce MB, et al. Pathogenesis and transmission of avian influenza A (H7N9) virus in ferrets and mice. Nature, 2013, 501(7468): 556-559.
22. Zhou J, Wang D, Gao R, et al. Biological features of novel avian influenza A (H7N9) virus. Nature, 2013, 499(7459): 500-503.
23. Wang Q, Zhang Z, Shi Y, et al. Emerging H7N9 influenza A (novel reassortant avian-origin) pneumonia: radiologic findings. Radiology, 2013, 268(3): 882-889.
24. Gao HN, Lu HZ, Cao B, et al. Clinical findings in 111 cases of influenza A (H7N9) virus infection. N Engl J Med, 2013, 368(24): 2277-2285.
25. Centers for Disease C. Prevention, Emergence of avian influenza A (H7N9) virus causing severe human illness - China, February-April 2013. MMWR Morb Mortal Wkly Rep, 2013, 62(18): 366-371.
26. Guan Y, Farooqui A, Zhu H, et al. H7N9 Incident, immune status, the elderly and a warning of an influenza pandemic. J Infect Dev Ctries, 2013, 7(4): 302-307.
27. Bertran K, Perez-Ramirez E, Busquets N, et al. Pathogenesis and transmissibility of highly (H7N1) and low (H7N9) pathogenic avian influenza virus infection in red-legged partridge (Alectoris rufa). Vet Res, 2011, 42: 24.
28. Shen P, Zong YM, Shu J, et al. Dynamic assessment of lung injury by ultrasound in a case with H7N9 influenza. Crit Care, 2013, 17(3): 438.
29. Zhang YK, Li J, Yang JP, et al. Lung ultrasonography for the diagnosis of 11 patients with acute respiratory distress syndrome due to bird flu H7N9 infection. Virol J, 2015, 12: 176.
30. Caltabeloti F, Monsel A, Arbelot C, et al. Early fluid loading in acute respiratory distress syndrome with septic shock deteriorates lung aeration without impairing arterial oxygenation: a lung ultrasound observational study. Crit Care, 2014, 18(3): R91.
31. Zhao Z, Jiang L, Xi X, et al. Prognostic value of extravascular lung water assessed with lung ultrasound score by chest sonography in patients with acute respiratory distress syndrome. BMC Pulm Med, 2015, 15: 98.
32. Effros RM, Pornsuriyasak P, Porszasz J, et al. Indicator dilution measurements of extravascular lung water: basic assumptions and observations. Am J Physiol Lung Cell Mol Physiol, 2008, 294(6): L1023-1031.
33. 李莲花, 杨倩, 李黎明, 等. 肺部超声评分评估急性呼吸窘迫综合征患者病情严重程度及预后的价值. 中国危重急救医学, 2015, 27(7): 579-584.
34. Spalding MC, Cripps MW, Minshall CT. Ventilator-associated pneumonia: new definitions. Crit Care Clin, 2017, 33(2): 277-292.
35. Guillamet CV, Kollef MH. Update on ventilator-associated pneumonia. Curr Opin Crit Care, 2015, 21(5): 430-438.
36. Lipovy B, Rihova H, Gregorova N, et al. Epidemiology of ventilator-associated tracheobronchitis and vantilator-associated pneumonia in patients with inhalation injury at the Burn Centre in Brno (Czech Republic). Ann Burns Fire Disasters, 2011, 24(3): 120-125.
37. Leblebicioglu H, Erben N, Rosenthal VD, et al. International Nosocomial Infection Control Consortium (INICC) national report on device-associated infection rates in 19 cities of Turkey, data summary for 2003-2012. Ann Clin Microbiol Antimicrob, 2014, 13: 51.
38. Rosenthal VD, Maki DG, Mehta Y, et al. International Nosocomial Infection Control Consortium (INICC) report, data summary of 43 countries for 2007-2012. Device-associated module. Am J Infect Control, 2014, 42(9): 942-956.
39. Arabi Y, Al-Shirawi N, Memish Z, et al. Ventilator-associated pneumonia in adults in developing countries: a systematic review. Int J Infect Dis, 2008, 12(5): 505-512.
40. Zhang Y, Yao Z, Zhan S, et al. Disease burden of intensive care unit-acquired pneumonia in China: a systematic review and meta-analysis. Int J Infect Dis, 2014, 29: 84-90.
41. Pugin J, Auckenthaler R, Mili N, et al. Diagnosis of ventilator-associated pneumonia by bacteriologic analysis of bronchoscopic and nonbronchoscopic "blind" bronchoalveolar lavage fluid. Am Rev Respir Dis, 1991, 143(5 Pt 1): 1121-1129.
42. 李黎明, 李莲花, 关键, 等. 肺部超声评分在呼吸机相关性肺炎疗效评价中的作用. 中华内科杂志, 2016, 55(12): 950-952.
43. Mongodi S, Via G, Girard M, et al. Lung ultrasound for early diagnosis of ventilator-associated pneumonia. Chest, 2016, 149(4): 969-980.
44. Martin GS, Eaton S, Mealer M, et al. Extravascular lung water in patients with severe sepsis: a prospective cohort study. Crit Care, 2005, 9(2): R74-82.
45. Chung FT, Lin HC, Kuo CH, et al. Extravascular lung water correlates multiorgan dysfunction syndrome and mortality in sepsis. PLoS One, 2010, 5(12): e15265.
46. Sturgess DJ, Marwick TH, Joyce C, et al. Prediction of hospital outcome in septic shock: a prospective comparison of tissue Doppler and cardiac biomarkers. Crit Care, 2010, 14(2): R44.
47. Etchecopar-Chevreuil C, Francois B, Clavel M, et al. Cardiac morphological and functional changes during early septic shock: a transesophageal echocardiographic study. Intensive Care Med, 2008, 34(2): 250-256.
48. Pulido JN, Afessa B, Masaki M, et al. Clinical spectrum, frequency, and significance of myocardial dysfunction in severe sepsis and septic shock. Mayo Clin Proc, 2012, 87(7): 620-628.
49. Nagueh SF, Middleton KJ, Kopelen HA, et al. Doppler tissue imaging: a noninvasive technique for evaluation of left ventricular relaxation and estimation of filling pressures. J Am Coll Cardiol, 1997, 30(6): 1527-1533.
50. Bouhemad B, Nicolas-Robin A, Benois A, et al. Echocardiographic Doppler assessment of pulmonary capillary wedge pressure in surgical patients with postoperative circulatory shock and acute lung injury. Anesthesiology, 2003, 98(5): 1091-1100.
51. Combes A, Arnoult F, Trouillet JL. Tissue Doppler imaging estimation of pulmonary artery occlusion pressure in ICU patients. Intensive Care Med, 2004, 30(1): 75-81.
52. Vignon P, AitHssain A, Francois B, et al. Echocardiographic assessment of pulmonary artery occlusion pressure in ventilated patients: a transoesophageal study. Crit Care, 2008, 12(1): R18.
53. Chew MS. Haemodynamic monitoring using echocardiography in the critically ill: a review. Cardiol Res Pract, 2012: 139537.
54. 尹万红, 李易, 秦瑶, 等. 二尖瓣舒张早期血流峰速度与瓣环运动速度比值在评价严重脓毒症肺水肿中的价值. 四川大学学报(医学版), 2016, 47(4): 580-583.
55. Fadila M, Regunath H. Ventilator weaning. in StatPearls. 2017: Treasure Island (FL).
56. Bell L. Safe weaning from mechanical ventilation. Am J Crit Care, 2015, 24(2): 130.
57. Boles JM, Bion J, Connors A, et al. Weaning from mechanical ventilation. Eur Respir J, 2007, 29(5): 1033-1056.
58. Shaikh H, Morales D, Laghi F. Weaning from mechanical ventilation. Semin Respir Crit Care Med, 2014, 35(4): 451-468.
59. Soummer A, Perbet S, Brisson H, et al. Ultrasound assessment of lung aeration loss during a successful weaning trial predicts postextubation distress. Crit Care Med, 2012, 40(7): 2064-2072.

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