中国胸心血管外科临床杂志

中国胸心血管外科临床杂志

肺超声通气面积评分与心脏术后肺部并发症的相关性研究

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目的 探讨心脏术后患者肺超声影像与术后肺部并发症的相关性。 方法 纳入 2017 年 1 月至 2017 年 5 月心脏大血管术后的 52 例患者,其中男 27 例、女 25 例,年龄(60.50±10.43)岁。由经过专门超声训练的观察者进行肺部超声检查,保存视频资料,使用肺超声通气评分方案进行评分,并评估评分结果与患者肺部并发症相关性。 结果 肺超声通气评分结果为 17.80±3.87,与检查时 PaO2/FiO2 呈负相关趋势,但尚不显著(r=–0.363,P=0.095),与患者术后 24 h 的 PaO2/FiO2 变化呈明显负相关(r=–0.464,P=0.034)。 结论 肺通气面积改变,可能会早于肺功能改变出现。床旁肺部超声评分是监测肺部并发症的有效方案。

Objective To investigate the correlation between pulmonary ultrasonography and pulmonary complications after cardiac surgery. Methods Fifty-two patients after cardiac surgery from January 2017 to May 2017 were recruited. There are 27 males and 25 females, aged 60.50±10.43 years. Lung ultrasonography was performed by specially trained observers, video data were saved, and lung ultrasound score (LUS) were recorded. The correlation between the LUS and the patients' pulmonary functions was evaluated. Results LUS score were 17.80±3.87, showing a negative correlation with PaO2/FiO2 at the time of examination, without significant difference (r=–0.363, P=0.095), but showing significant negative correlation with PaO2/FiO2 changes 24 hours later (r=–0.464, P=0.034). Conclusion The changes of lung ventilation area may occur earlier than the changes of lung function. LUS is an effective method for clinical monitoring of pulmonary complications.

关键词: 床旁超声; 肺超声评分; 心脏手术; 肺部并发症

Key words: Bedside ultrasound; lung ultrasound score; cardiac surgery; postoperative pulmonary complications

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