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首页> 外文期刊>Journal of bronchology & interventional pulmonology >Risk Factors for Loss of Lung Sliding in a Medical Intensive Care Population With Acute Respiratory Failure
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Risk Factors for Loss of Lung Sliding in a Medical Intensive Care Population With Acute Respiratory Failure

机译：急性呼吸衰竭医学密集护理人群中肺滑动的危险因素

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Background: Point of care bedside ultrasound is widely utilized as a rapid technique to evaluate patients with acute pulmonary emergencies, including acute pneumo-thorax. The presence of a pneumothorax is a known cause of loss of lung sliding by ultrasound examination, but no other risk factors have been clearly identified. We attempted to identify demographic and patient characteristics that are risk factors for loss of ultrasonographic lung sliding in the absence of a pneumothorax. Methods: Data were collected on 159 patients admitted to the medical intensive care unit with acute respiratory failure, undergoing routine admission lung ultrasound. The lung ultrasound examination consisted of 3 views of each hemithorax using a phased array abdominal probe. Results: There were 4 confirmed pneumothoraces out of 20 patients with loss of lung sliding at > 1 ultrasound interrogation points on either hemithorax. Hypercarbic respiratory failure [odds ratio (OR), 5.59] and low body mass index (OR, 0.88) were statistically significant risk factors for the loss of lung sliding in the absence of pneumothorax. There was a trend toward significance in patients with a known history of a decreased forced expiratory volume I/forced vital capacity ratio (OR, 0.02), COPD/asthma exacerbation as the cause of their respiratory failure (OR, 4.52) and previous pneumothorax (OR, 11.53). Conclusion: Common diagnoses and comorbidities are associated with the loss of ultrasonographic lung sliding, in the absence of pneumothorax.
机译：背景：护理点床位超声波广泛用于评估急性肺动脉急促患者的快速技术，包括急性肺胸部。气胸的存在是通过超声检查丧失肺部滑动的已知原因，但没有清楚地识别出其他危险因素。我们试图识别人口统计和患者特征，这些特征是在没有气胸的情况下失去超声肺部滑动的危险因素。方法：在159名患者中收集到患有急性呼吸衰竭的159名患者的数据，接受常规入学肺超声。肺超声检查包括使用相位阵列腹部探头的每个半血管的3个视图。结果：20名患者中有4例确诊的气胸，肺部损失在血管痉挛中的1个超声询问点。高碳酸呼吸衰竭[赔率比（或），5.59]和低体重指数（或0.88）在没有气胸的情况下失去肺部滑动的统计学意义的风险因素。患者患者具有重要意义，已知的强迫呼气量I /迫使生命能力比（或0.02），COPD /哮喘恶化为其呼吸衰竭（或4.52）和以前的气胸（或者11.53）。结论：常见的诊断和合并症与超声肺滑动的丧失有关，在没有气胸的情况下。

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