摘要 目的 探讨肺超声简化评分法在危重患者肺损伤动态评估中的应用价值。 方法 前瞻性观察2017年7月至8月浙江大学医学院附属第二医院急诊监护室收住的64例患者，应用经典的肺十二分区法进行超声评分，记录治疗过程中肺超声评分的动态变化，以及动脉血气分析、氧合指数、ICU住院时间等指标。在十二分区肺超声评分基础上，建立多种简化的肺超声评分法，观察与十二分区评分法的相关性。 结果 64例患者治疗前及治疗后简化四分区与十二分区相关性高（P<0.05）。其中存活组治疗前及治疗后简化四分区与十二分区相关性高（P<0.05），治疗后简化四分区肺超声评分（3.11±0.95 vs. 4.75±2.36，3.11±0.95，P<0.05）、氧合指数较治疗前改善（287.32±74.89 vs. 355.12±61.07，P<0.05）；存活组治疗前后各分区肺超声评分与氧合指数相关性较好（P<0.05）。死亡组治疗前及治疗后简化四分区与十二分区相关性高（P<0.05），治疗后简化四分区肺超声评分（8.71±1.49 vs. 5.71±1.79，P<0.05）、氧合指数（206.57±69.72 vs. 117.42±28.56，P<0.05）较治疗前恶化；死亡组治疗前后各分区肺超声评分与氧合指数无相关性（P>0.05）。脱机拔管前与拔管后9例患者简化四分区肺超声评分及氧合指数均改善（P<0.05）。 结论 简化四分区肺超声评分法与经典十二分区法肺超声评分相关性高，同样反映危重患者肺损伤的程度，可以作为监护的评估手段应用于临床。
王宏阳，吴春双，刘少云，吴定钱，张茂. 简化肺超声评分动态评估危重患者肺损伤的研究[J]. 中国急救医学, 2019, 39(10): 992-997.
Wang Hong-yang, Wu Chun-shuang, Liu Shao-yun, Wu Ding-qian, Zhang Mao. Preliminary evaluation of simplified lung ultrasound score in dynamic assessment of lung injury in critically ill patients. Chinese Journal of Critical Care Medicine, 2019, 39(10): 992-997.
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