. .. .. ..
1
, - . 30-50%. , , .
,
BLUE - Bedside Lung Ultrasound in Emergency ( ), , 2 10 .
% % % 423992908593 614793 8689310095100 367597 3460989010088
557295
D. Lichtenstein, Anaesthesiology 2004
(, ) . , .
: , . ().
8 : ( )
. . , , 90,5 % .
: , , ..
Lung Sliding ( , ) - . .
- ( )
-, . -, .
-
( 3- ) , . , . .
-
+ (+ lines, Lung rockets tails of comets ) : 3 , ( ).
Seashore Sign ( ) - .
arcode Sign ( ) .
Lung Point ( , ) .
- .
( - ). ( ), ( ) .
( -). .
( ) .
, (, )
, (, )
- ( )
, (-) ( ). ( ), (100%) . , ( 90% ) / . , - / .
:
( ) (-). , , . , , . , , ( ),
-
( ) (-)
(-)
( )
-. , - Seashore Sign - ( ) .
, - barcode - ( ) .
: - ( + , lung rockets), .
, Z-
-
100% 99,7% , .
-
-
Balik: VmL = Sep(mm) x 20 , , 15 , - , .
, , . 90% - . 10% : , , .
2 : 1. Tissue-like sign ( ) , . , , . (tissue-like sign). , ( ).
2. Shred sign ( , ) , , , () . (shred line) , .
. ( )
, , . , , . , , , .
0,5-3% . , . . , , - 80% , , - .
.
, . , ; ( ). ; .
- ( - 98,6%, - 68,2%, - 91,6%), , . ( - 94,1%, - 81,5%, -
88,5%).
: (93%), (84%), (76%), (68%), (56%).
79,1% 90,7% 53,4% 10 (5,1-10,0 )55,8% 93% 90,7% 81,4% 60,5%
72,1% 81,4%
:
* :62,5%*66,7% *100%*50% :37,5%33,3%50%
, .
: : 79,1% 51,2% 27,9% : 9,3% 2,3% 9,3% 9,3% 4,6% : 7,0%
15,8%
, (3 - 7,0%), 2 , - ( , , ). .
() , 3% . 1 2300 , 40% , , . (60-80% ) . . , .
. .
. .
, , , .
[email protected]
