ABSTRACT
Objective:To investigate the application value of bedside lung ultrasound in the diagnosis of acute dyspnea.Methods:Sixty-four patients with acute dyspnea who received treatment in Jincheng General Hospital from January 2020 to January 2021 were included in this study. These patients underwent bedside lung ultrasound, chest X-ray examination, and CT scan. The value of bedside lung ultrasound in the diagnosis of lung consolidation, pleurisy, pleural effusion, and pulmonary edema was analyzed.Results:The diagnostic rate of lung consolidation, pleurisy, pleural effusion, and pulmonary edema by bedside lung ultrasound was 34.4% (22/64), 64.1% (41/64), 67.2% (43/64), and 57.8% (37/64), respectively, which was slightly, but not significantly, different from that by chest CT scans [42.2% (27/64), 57.8% (37/64), 64.1% (41/64), 68.8% (44/64), all P > 0.05]. The diagnostic rate of lung consolidation, pleurisy, pleural effusion, and pulmonary edema by bedside lung ultrasound was significantly higher than that by chest X-ray examination [17.2% (11/64), 26.6% (17/64), 34.4% (22/64), 37.5% (37/64), χ2 = 4.94, 18.16, 13.78, 5.293, all P < 0.05]. Conclusion:Bedside lung ultrasound can help diagnose and screen patients with acute dyspnea quickly, accurately, and timely. Bedside lung ultrasound has a higher rate in the diagnosis of lung consolidation, pleurisy, pleural effusion, and pulmonary edema than chest X-ray examination, which is worthy of clinical application.
ABSTRACT
Localized electric filed enhancement by surface plasmon resonance (SPR) of noble metal nanoparticles is an effective method to amplify the upconversion luminescence (UCL) strength of upconversion nanoparticles (UCNPs), whereas the highly effective UCL enhancement of UCNPs in colloids has not been realized until now. Here, we designed and fabricated the colloidal Au-Ag nanocage@NaYF4@NaYF4:Yb,Er core-shell hybrid with different intermediate thickness (NaYF4) and tunable SPR peaks from visible wavelength region to NIR region. After the optimization of the intermediate spacer thickness (~7.5 nm) of NaYF4 NPs and the SPR peak (~950 nm) of noble metal nanoparticles, an optimum enhancement as high as ~25 folds was obtained. Systematic investigation indicates that UCL enhancement mainly originates from the influence of the intermediate spacer and the coupling of Au-Ag nanocages with the excitation electromagnetic field of the UCNPs. Our findings may provide a new thinking on designing highly effective metal@UCNPs core-shell hybrid in colloids.
