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首页> 外文期刊>Italian Journal of Medicine >A multisystem approach by bed-side ultrasound in patients with COVID-19 infection: a case series
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A multisystem approach by bed-side ultrasound in patients with COVID-19 infection: a case series

机译：Covid-19感染患者床侧超声波的多系统方法：案例系列

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摘要

Recent epidemiological reports on Chinese population affected by novel coronavirus showed a wide spread of clinical and biochemical alterations, suggesting a relationship between progression of lung damage to acute respiratory distress syndrome and the systemic inflammatory response, triggering an irreversible multiple organ damage and disseminated intravascular coagulation. Bedside ultrasound assessment provides integrated information, describing a multisystemic and dynamic clinical scenario for every patient. Furthermore, this approach allows to concentrate multiple information in the hands of a single operator, also limiting the risk of exposure to infection for healthcare professionals. As per our experience, herewith reported, we described the characteristics of 10 patients with SARS-CoV-2 infection. Ultrasound findings were related to clinical information, blood test analysis, and results of instrumental tests, such as chest X-ray and chest computed tomography. According to our ultrasound data, COVID-19 appears to be a systemic pathology even in those cases of mild to moderate disease. By this multisystem ultrasound approach, we could immediately recognize patients with a diffuse organ involvement and a more severe clinical pattern; moreover, we can protect healthcare workers and limit infection within health facilities.
机译：最近关于冠状病毒影响的中国人口的流行病学报告显示了临床和生化改变的广泛蔓延，曲折损伤对急性呼吸窘迫综合征的进展与全身炎症反应之间的关系，触发了不可逆转的多器官损伤并传播血管内凝血。床边超声评估提供了集成信息，用于每个患者的多系统和动态临床情景。此外，这种方法允许集中在单个操作员手中的多个信息，这也限制了暴露于医疗保健专业人员感染的风险。根据我们的经验，在此报道，我们描述了10例SARS-COV-2感染患者的特征。超声检查结果与临床信息，血液试验分析和仪器测试的结果有关，例如胸部X射线和胸部计算断层扫描。根据我们的超声数据，Covid-19似乎是一种全身病理，即使在那些轻度到中度疾病的情况下也是如此。通过这种多系统超声方法，我们可以立即识别延伸器官受累和更严重的临床模式;此外，我们可以保护医疗保健工作者并限制卫生设施内的感染。

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