Application value of lung color Doppler ultrasound in adult community acquired pneumonia / 重庆医学

ABSTRACT

Objective To study the clinical application value of lung ultrasonography (LUS) in adult community acquired pneumonia (CAP).Methods A total of 304 cases of CAP diagnosed by clinic and lung CT in our hospital were performed LUS examination and the results were conducted the comparison.The majority of pneumonia patients detected by ultrasound were performed the ultrasound follow up for observing the disease outcomes.Results Among 301 cases,288 cases were ultrasound examination positive,11 cases were false negative,2 cases were misdiagnosis,the positive rate was 95.6 ％.The main ultrasound signs were pulmonary consolidation,abnormal pleural line,B line and pleural effusion.Among 288 cases of positive ultrasound,lung consolidation was found,in which 193 cases were accompanied by air bronchogram,280 cases had abnormal pleural line,85 cases had pleural effusion,212 cases had B line;the consolidation lesion areas distribution:unilateral lung in 108 cases,bilateral lungs in 180 cases,82cases of single lesion and 206 cases of multiple lesions.Conclusion The lung ultrasound diagnosis of CAP has high accuracy,no radiation,can conduct in bedside,can be repeated for many times,and is worth promoting.