摘要
目的探究床旁超声对老年重症肺炎患者的影像学表现与CT诊断结果比较。方法选取2015年8月至2018年4月武汉市第五医院重症医学科及呼吸内科收治的112例重症肺炎患者(>60岁)作为研究对象。患者均行床旁超声与CT检查,按照CT检查结果分为实变组与非实变组,观察两组床旁超声影像学特征。结果CT检查112例患者存在75例为实变组,37例为非实变组,两组性别、年龄比较差异无统计学意义(P>0.05)。两组肺炎旁积液比较差异无统计学意义(P>0.05),实变组肺实质发生率明显高于非实变组,胸膜下病变数量与胸膜改变肋间数量明显低于非实变组,差异均具有统计学意义(P<0.05)。结论老年重症肺炎患者床旁超声影像学特征表现为肺实变、胸膜下病变及胸膜改变,对患者实变情况具有重要意义。
Objective To investigate the imaging findings and CT findings of bedside ultrasound in elderly patients with severe pneumonia.Methods A total of 112 patients with severe pneumonia(>60 years old)admitted to the Department of Respiratory Medicine from August 2015 to April 2018 were enrolled.All patients underwent bedside ultrasound and CT examination.According to the results of CT examination,they were divided into consolidation group and non-consolidation group.The imaging features of bedside ultrasound were observed.Results There were 75 cases in the consolidation group and 37 cases in the non-consolidation group;there was no significant difference in gender and age between the two groups(P>0.05).There was no significant difference in the parapneumoniceffusions between the two groups(P>0.05).The incidence of pulmonary parenchyma was significantly higher in the consolidation group than in the non-consolidation group;the number of subpleural lesions and the number of pleural changes were significantly lower than those in the non-constant group(P<0.05).Conclusion The ultrasonographic features of bedside ultrasound in elderly patients with severe pneumonia are characterized by pulmonary consolidation,subpleural lesions and pleural changes,which are important for the consolidation of patients.
作者
张治
ZHANG Zhi(Department of Critical Medicine,Wuhan Fifth Hospital,Wuhan 430050,Hubei Province,China)
出处
《中国CT和MRI杂志》
2021年第9期61-63,共3页
Chinese Journal of CT and MRI
关键词
床旁超声
老年
重症肺炎
CT
Bedside Ultrasound
Old Age
Severe Pneumonia
CT
