心肺联合超声结合临床评估在急诊科诊断急性心衰的研究

张运玮; 曹春艳; 张进祥

doi:10.13201/j.issn.1009-5918.2021.08.009

心肺联合超声结合临床评估在急诊科诊断急性心衰的研究

- 1. 华中科技大学同济医学院附属协和医院急诊科(武汉, 430022);
- 2. 华中科技大学同济医学院附属协和医院超声医学科;
- 3. 华中科技大学同济医学院附属协和医院急诊创伤外科

详细信息

通讯作者: 张进祥,E-mail:zhangjinxiang@hust.edu.cn

中图分类号: R563.1

收稿日期: 2021-06-03

A study of cardiopulmonary ultrasound combined with clinical assessment in the diagnosis of acute heart failure in the emergency department

- 1. Department of Emergency, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China;
- 2. Department of ultrasound, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology;
- 3. Department of Emergency Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

More Information

Corresponding author: ZHANG Jinxiang, E-mail: zhangjinxiang@hust.edu.cn

Received Date: 03 June 2021

摘要

摘要: 目的:探讨心肺联合超声在急诊科诊断急性心衰的价值研究。方法:选取2021年1月-2021年5月期间我院急诊科收治的44例急性呼吸困难患者,通过初步临床评估及患者心肺联合超声或BNP的结果进行假定病因(急性心衰组与非急性心衰组)。根据最终的诊断结果评估心肺联合超声诊断的准确性和临床应用价值。结果:心肺联合超声结合临床评估诊断急性心衰患者的敏感度为0.68,特异度为0.63;BNP结合临床评估诊断急性心衰患者的敏感度为0.40,特异度为0.26;心肺联合超声结合临床评估诊断急性心衰患者的敏感度及特异度均大于BNP结合临床评估(P<0.05)。结论:对于急诊科急性呼吸困难患者应用心肺联合超声分析有助于快速诊断急性心衰。
- 心肺超声 /
- 急诊科 /
- BNP /
- 急性心衰
Abstract: Objective: To explore the value of cardiopulmonary ultrasound in the diagnosis of acute heart failure(AHF) patients from the emergency department.Methods: Forty-four patients with acute dyspnea admitted to the emergency department of our hospital from January 2021 to May 2021 were enrolled. After initial clinical evaluation and considering the result of cardiopulmonary combined ultrasound or B-type natriuretic peptide(BNP), these patients were classified according to presumptive aetiology(AHF or non-AHF). According to the final diagnosis results, the diagnostic accuracy and clinical application value of cardiopulmonary combined ultrasound or BNP were evaluated.Results: Cardiopulmonary ultrasound combined with clinical evaluation had a sensitivity of 0.68 and a specificity of 0.63 in the diagnosis of acute heart failure; However, BNP combined with clinical evaluation has a sensitivity of 0.40 and a specificity of 0.26 for the diagnosis of acute heart failure; The sensitivity and specificity of cardiopulmonary ultrasound combined with clinical evaluation in the diagnosis of AHF patients were greater than those of BNP combined with clinical evaluation(P<0.05).Conclusion: The cardiopulmonary combined ultrasound integrated with clinical evaluation seems to help quickly diagnose the patients of AHF in patients with acute dyspnea.
- cardiopulmonary combined ultrasound /
- emergency department /
- BNP /
- acute heart failure

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