检验医学与临床2024，Vol.21Issue(8)：1162-1165,4.DOI:10.3969/j.issn.1672-9455.2024.08.029
肺部超声检查在血液透析合并新型冠状病毒感染中的临床研究
Clinical study of lung ultrasound in hemodialysis patients with COVID-19
摘要
Abstract
Objective To explore the diagnosis and treatment strategy of lung ultrasound in hemodialysis patients with Corona Virus Disease 2019(COVID-19),in order to provide reference for clinical colleagues.Methods The basic clinical data of the diagnosis and treatment of a patient with severe COVID-19 who was successfully cured on maintenance hemodialysis were analyzed."COVID-19,hemodialysis,lung ultrasound ex-amination"were used as the key words to search the literature published in CNKI and PubMed database from 2020 to 2023.Results The patient on maintenance hemodialysis complicated with COVID-19 was cured and discharged after oxygen therapy,antiviral,anti-inflammatory,hemodialysis treatment(lung ultrasound was used to evaluate the changes of lung B line),anti-infection,anticoagulation and other treatments.The levels of interleukin-6,lymphocyte count,C-reactive protein,procalcitonin,erythrocyte sedimentation rate,and D-dimer were normal.The COVID-19 nucleic acid antigen test of throat swab was negative.Bedside lung ultrasound examination showed no obvious B-line in both lungs,and lung CT examination showed obvious absorption of exudation in lung.Literature search results:a total of 35 literatures were retrieved,16 literatures were exclu-ded and 19 literatures were finally retained.Combined with case analysis and literature review,the clinical di-agnosis and treatment methods of lung ultrasound in maintenance hemodialysis patients with COVID-19 were analyzed and summarized.Conclusion Bedside lung ultrasound is very effective in the identification and strati-fication of severe COVID-19 in maintenance hemodialysis patients.It can immediately and accurately assess the volume status of patients and ensure the adequacy of dialysis.关键词
重型新型冠状病毒感染/维持性血液透析/肺部超声检查/诊断/治疗策略Key words
severe Corona Virus Disease 2019/maintenance hemodialysis/lung ultrasound examina-tion/diagnosis/treatment strategy分类
医药卫生引用本文复制引用
王开振,许生甜,唐能源,李琦晖..肺部超声检查在血液透析合并新型冠状病毒感染中的临床研究[J].检验医学与临床,2024,21(8):1162-1165,4.基金项目
重庆市科卫联合中医药科研项目(2023MSXM168). （2023MSXM168）
