ĐẶC ĐIỂM CÁC VÙNG PHỔI THEO THANG ĐIỂM SIÊU ÂM PHỔI Ở BỆNH NHÂN SUY HÔ HẤP CẤP TIẾN TRIỂN ĐƯỢC THÔNG KHÍ XÂM NHẬP

Abstract

Objective: to describe lung regional distribution by lung ultrasound score in patients with Acute Respiratory Distress Syndrome (ARDS) on invasive ventilation. Patients and Methods: A prospective observational study was carried outon 24 patients with ARDS who were on invasive ventilation at the Emergency Department and Intensive Care Unit of Bach Mai Hospital from October 2019 to October 2020. Lung ultrasound was performed on the 12 regions according to the lung ultrasound score, the highest score was 3 points with consolidation, the lowest was 0 points with the A – line. Analysis of the distribution of the lung ultrasound images by the severity of ARDS and by lung regional areas, using medical statistical software SPSS 20.0. Results: 64 lung ultrasounds were performed on 24 ARDS patients on invasive ventilation with an average age of 44 ± 13 (years), the men:women ratio was 2:1. Consolidation and B-line image appeared mainly in the posterior and lower areas of the lung, B2 image appeared in 100% of patients. Majority of patients with severe ARDS showed B2 image on their lungs (75%), C (75%), but the total and regional ultrasound scores did not change accordingly to the severity of ARDS (Berlin 2012) .Conclusion:Lung ultrasonography showed heterogeneously in distribution between lung areas with consolidation and B-line image appeared mainly in the posterior and lower areas of the lung.