Bedside Lung Ultrasound in Application of Screening of Severe Stroke Complicated with Neurogenic Pulmonary Edema
YUAN Jing
XU Bin
CHEN Bi-yao
YANG Tie-cheng
GUO Wei
Abstract：Objective To investigate the application of bedside lung ultrasound in screening of severe stroke complicated with neurogenic pulmonary edema (NPE).Methods A total of 35 patients with severe stroke admitted from Augest to December 2016 underwent lung ultrasound examination within 3 d after the onset daily, and the patients with pulmonary edema by ultrasound examination were given further blood gas analysis and bedside chest X-ray examinations, and then the diagnosis of NPE was confirmed.The sensitivity, specificity and coincidence rate of lung ultrasound diagnostic method were calculated by the four grid method.Results Bedside lung ultrasound examination showed 11 patients with pulmonary edema, in whom the pulmonary edema was found within 24 h after the onset in 7 patients, and other 4 patients were found within 48-72 h after the onset.Chest X-ray showed pulmonary edema in 5 patients, while 6 patients with pulmonary edema with slight symptom by bedside lung ultrasound examination showed no pulmonary edema by chest X-ray examination.Diagnostic efficacy analysis showed that the sensitivity of lung ultrasound in diagnosis of NPE was 100.0%;specificity was 80.0%, and the coincidence rate was 82.8%.Conclusion Lung ultrasound examination can diagnose pulmonary edema, and it is suitable for bedside diagnosis of severe patients.
Keywords：Pulmonary edemaneurogenicStrokeUltrasonographyDiagnosis
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 99-101 )