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超声在新型冠状病毒肺炎诊疗中的应用
贾兰婷,赵佳琦,张世奇,杨希
0
(1. 海军军医大学(第二军医大学)长征医院超声诊疗科, 上海 200003;
2. 武汉科技大学附属汉阳医院超声科, 武汉 430050
*通信作者)
摘要:
新型冠状病毒肺炎(COVID-19)传播速度快,感染率高,疫情已构成全球大流行。超声设备具有便携、方便消毒、检查模式多样等优点,可应用于COVID-19的辅助诊断、病情监测及治疗评估,为诊治决策的调整提供指导。超声专家还可通过智能化超声装备在4G/5G网络支持下进行超声远程会诊,通过异地操作超声机器人机械臂完成实时扫查,有效缓解隔离区超声医师不足的问题,降低感染风险。目前,超声是唯一能进入隔离区对COVID-19患者进行床旁检查的可视化影像设备。本文分析了超声技术在COVID-19所致肺部损伤及全身多脏器病变检查诊断、病情监测、治疗评估中的应用价值,并就远程超声、超声人工智能等领域的应用前景进行探讨。
关键词:  严重急性呼吸综合征冠状病毒2  新型冠状病毒肺炎  超声检查  远程超声  人工智能
DOI:10.16781/j.0258-879x.2020.04.0414
投稿时间:2020-03-04修订日期:2020-04-22
基金项目:国家自然科学基金(81501492).
Application of ultrasound in diagnosis and treatment of coronavirus disease 2019
JIA Lan-ting,ZHAO Jia-qi,ZHANG Shi-qi,YANG Xi
(1. Department of Ultrasound, Changzheng Hospital, Naval Medical University (Second Military Medical University), Shanghai 200003, China;
2. Department of Ultrasound, Hanyang Hospital Affiliated to Wuhan University of Science and Technology, Wuhan 430050, Hubei, China
*Corresponding author)
Abstract:
Coronavirus disease 2019 (COVID-19) pandemic has run rampant across the world, with a rapid transmission rate and a high infection rate. With the advantages of portability, easy sterilization, and multiple diagnostic mode, ultrasound can dynamically guide the diagnosis of pneumonia in COVID-19 patients, monitor patients’ medical conditions, and facilitate the treatment evaluation for the adjustment of therapeutic decision-making. Moreover, ultrasonic remote consultation can be carried out by intelligent ultrasonic equipment with the support of 4G/5G network. Ultrasonic experts can perform real-time scanning through remote operation of ultrasonic robot manipulators, which can effectively relieve the shortage of ultrasonic doctors in isolation wards and reduce infection risks. At present, ultrasound is the only visual imaging device that can be brought into isolation wards for bedside examination of COVID-19 patients. This article analyzes the application value of ultrasound technology in the examination, diagnosis, medical condition monitoring, and treatment evaluation of lung injury and even systemic multiple organ diseases in COVID-19 patients, and discusses the application prospect of remote ultrasound and artificial intelligence in the relevant fields.
Key words:  severe acute respiratory syndrome coronavirus 2  coronavirus disease 2019  ultrasonography  remote ultrasound  artificial intelligence