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| The Evaluation Value of Pulmonary Ultrasound Examination on the Severity and Prognosis of Pulmonary Infection Patients |
| LI Jingjing, ZHANG Xiaoguang |
| Department of Ultrasonic,Henan Mengzhou Fuxing Hospital,Mengzhou Henan 454750 |
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Abstract 【Objective】To explore the evaluation value of pulmonary ultrasound examination on the severity and prognosis of pulmonary infection patients.【Method】A total of 100 patients with pulmonary infections admitted to Mengzhou Fuxing Hospital and the Second Affiliated Hospital of Zhengzhou University in Henan Province from January 2020 to December 2022 were selected as the infection group. In addition, 100 volunteers who did not have pulmonary infections during physical examinations were selected as the control group. Both groups underwent pulmonary ultrasound examination, and the pulmonary ultrasound characteristics and pulmonary ultrasound scores (LUS) of the two groups were compared. Simple linear correlation was used to analyze the correlation between LUS and the acute physiological function and chronic health scoring system (APACHE Ⅱ) score, clinical pulmonary infection score (CPIS), peripheral blood white blood cell (WBC) count, serum prealbumin (SPA), and soluble myeloid trigger receptor-1 (STREM-1) in patients with pulmonary infection. The predictive value of LUS for the prognosis of patients with pulmonary infection was analyzed.【Result】The detection rate of B-line sign, lung consolidation sign, lung sliding sign weakened or disappeared, and air bronchial inflation sign in the infected group was higher than that in the control group, and the difference was statistically significant (P<0.05); The WBC count, serum STREM-1 level, and LUS in the infected group were significantly higher than those in the control group (P<0.05), while the serum SPA level was significantly lower than that in the control group (P<0.05). There was a significant positive correlation between WBC count, serum STREM-1 level, APACHE Ⅱ score, CPIS, and LUS in the infected group(P<0.05) ; The serum SPA level in the infected group was significantly negatively correlated with LUS (P<0.05). After treatment, 17 out of 100 patients died and 83 improved and were discharged. The analysis of Receiver Operating Characteristic (ROC) curves showed that LUS had a sensitivity of 71.04%, specificity of 87.34%, and an area under the ROC curve of 0.884 for predicting mortality in patients with pulmonary infections.【Conclusion】LUS is significantly correlated with the levels of inflammatory factors and the severity of pulmonary infection in patients, and can be used to predict patient prognosis.
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Received: 05 February 2024
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[1] MELI M , SPINA M L , TROBIA G L , et al. Pleuro-pulmonary ultrasound in the diagnosis and follow-up of lung infections in children with cancer: a pilot sudy[J].J Ultrasound,2022, 25(4):865-875.
[2] 刘月,郭丽苹,杨爽,等. 床旁肺超声实时动态评估危重症患者肺炎病情严重程度的应用价值[J].临床急诊杂志,2022,23(2):87-90.
[3] 赵亚西,汪海飞,孙永林,等. 肺部超声联合氧合指数检测诊断对重症肺炎患者病情严重程度及预后的影响[J].影像研究与医学应用,2022,6(3):56-58.
[4] 杜京奚,王臻,王玉娟,等. 肺部超声动态评价支气管肺泡灌洗治疗感染性肺炎患儿的临床效果[J].中国医学影像技术,2022,38(6):864-867.
[5] 中华医学会呼吸病学分会感染学组. 中国成人医院获得性肺炎与呼吸机相关性肺炎诊断和治疗指南(2018年版)[J].中华结核和呼吸杂志,2018,41(4):255-280.
[6] 穆楠,蒋亚洲,卓烈,等. 肺部超声评分联合血CRP、LDH水平对肺炎支原体肺炎患儿病变程度评估的临床意义[J].中国超声医学杂志,2021,37(9):993-997.
[7] 钱鹤平,何海刚,李勇. 肺部超声评分联合Lac、NT-proBNP对老年重症肺部感染全因死亡的预测价值[J].中国急救复苏与灾害医学杂志,2023,18(1):64-68.
[8] 罗璐,张万莉,罗丽娜,等. 超声评分联合血清PA、sTREM-1检测诊断老年肺部感染的价值[J].中华医院感染学杂志,2021,31(1):58-62.
[9] 樊建峰,张广英,李华林,等. 早期与晚期新生儿感染性肺炎的临床表现及超声特点分析[J].中国中西医结合影像学杂志,2022,20(5):490-493.
[10] 马力丰,刘月霞,刘宏强,等. 呼吸机相关性肺炎患者肺部超声评分与NAMPT、Endocan、NLR的关系[J].影像科学与光化学,2022,40(1):94-99.
[11] 杨朝生,邓玉光,陈慧,等. 肺部超声对重症肺部感染患者肺通气的评估价值[J].中国医学物理学杂志,2022,39(3):317.
[12] 潘一鹏,张开亚,黄定靠,等. ICU患者并发肺部感染的胸部超声和CT的诊断价值分析[J].中国现代医生,2022,60(36):40-43.
[13] 白植琴,钱彩华,陆华东,等. 重症肺部感染患者血清感染学指标和免疫学指标对预后的预测价值[J].中华医院感染学杂志,2022,32(20):3052-3056.
[14] 肖燕, 闫媛媛, 娄君鸽. 肺超声评分对评估新生儿感染性肺炎病情严重程度的应用价值分析[J].中华全科医学, 2022, 18(10):1711-1714. |
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2024, Vol. 41 
