李广友 李诗红 曹彤

摘要：目的：新型冠状病毒肺炎（COVID-19）感染率极高、传播速度极快，已成为全球大流行疫情。超声检查较比其他检查设备具有明显优点，例如便于携带、实时、无辐射、可动态、可重复、无创等，可作为除听、视、触、叩之外第五项临床前期诊断检查方法，能够完善现代化诊疗方案。临床研究表示，超声是能够最快速度对疑似病例筛查出的一种影像学方法，对COVID-19患者可实时监测到肺部的病变情况，同时还能与血管、心脏、其他脏器进行联合诊断病情，为COVID-19患者诊疗方案提供科学性依据。本文对COVID-19患者使用超声检查诊断其肺部情况、全身各器官功能损伤程度、病情实时监测、评测等方向进行综合性应用讲述，同时研究远程超声、超声机器人技术在COVID-19中的应用。

关键词：超声检查;诊断新型冠状病毒肺炎;应用综述

中图分类号：R445.1文献标识码：BDOI：10？郾3969/j.issn.1001-0270.2021.04.12

Application of Ultrasonography in Diagnosis of New Coronavirus Pneumonia

LI Guang-you， LI Shi-hong， CAO Tong

（Pingyin Hospital of Traditional Chinese Medicine， Shandong 250400， China）

Abstract： Objective： New Coronavirus pneumonia（COVID-19） has a high infection rate and has been spreading rapidly. It has become a global pandemic. Compared with other examination equipment， ultrasound examination has obvious advantages， such as easy to carry， real-time， non radiation， dynamic， repeatable， non-invasive and so on. It can be used as the fifth preclinical diagnostic examination method in addition to hearing， vision， touch and percussion， and can improve the modern diagnosis and treatment scheme. Clinical research shows that ultrasound is a powerful imaging method that can screen suspected cases as quickly as possible. It can monitor the lung lesions of patients with cowid-19 in real time. At the same time， it can also diagnose the disease jointly with blood vessels， heart and other organs， providing scientific basis for conceiving the diagnosis and treatment plan of patients with cowid-19. This paper describes the comprehensive application of ultrasound in the diagnosis of the lung condition， the degree of organ damage， real-time monitoring and evaluation of the condition of patients with cowid-19， and studies the application of remote ultrasound and ultrasonic robot technology in cowid-19.

Key Words： Ultrasonography; diagnosis of New Coronavirus pneumonia; Application Overview

新型冠狀病毒肺炎是被冠状病毒2感染导致急性呼吸综合症的一种传染性疾病，症状主要表现为浑身乏力、发热、干咳。如果在出现此症状七天后，再出现低氧血症或呼吸困难症状，则可判定为属于重症型患者。在此情况下，会非常迅速转成急性呼吸窘迫综合征、弥漫性血管内凝血，产生休克，最终引起身体内多种器官功能衰竭。核酸检测是目前作为确诊此疾病的首要方法，但由于核酸检测对于技术条件要求较高，所以前期在进行筛查疑似患者时，肺部CT检查是必备的影像学方法。王超等（2020）[1]指出，患者在隔离区不能随意走动，而且医生在自我防护下使用听诊器会不方便，导致CT检查受限。……