Use of ultrasonic diagnostics for investigation and detection of structural changes in the lungs in COVID-19

Rapid and accurate diagnosis of various lung changes caused by SARS-Co V-2 is extremely important and relevant, as it will allow timely action to take the necessary measures to treat and stop the spread of lesions. Ultrasound diagnosis allows you to quickly, non-invasively, and cheaply conduct research that is accurate and effective enough to make or confirm a diagnosis. The article highlights the main structural changes in the lungs found in 86 patients with a positive PCR test for coronavirus virus. The following sonographic signs were observed during the study: B-line (in 54% of patients), white lung effect (in 20.6% of patients), consolidation (11 people – 17.5%), of which 6 patients with consolidation less than 1 cm and 5 patients had consolidations greater than 1 cm, pleural effusion was observed in 7 patients. Our research is important both in terms of increasing the informativeness of the diagnosis for physicians and patients, for whom it is important to quickly, non-invasively, and economically compare, detect disease and begin treatment promptly.

The importance of ultrasound in the diagnosis of pleura complications of acute destructive pneumonia in children

Background. The problem of timely diagnosis of complications of acute destructive pneumonia accompanied by pyofibrothorax remains relevant. The study was aimed to investigate the features of ultrasound diagnosis (ultrasound) of the condition of the visceral and parietal pleural lamina in acute destructive pneumonia in children at different stages of the disease. Materials and methods. In the departments of purulent surgery and pulmonology of the Regional Children’s Hospital of Dnipro for the period of 5 years, there were observed about 475 children aged from 1 to 17 years with pneumonia, purulent-destructive changes in the lungs and pleura. For analysis and further study, we choose a group of 50 patients of different age groups, who underwent ultrasound in real time without prior preparation of patients. The condition of the parietal and visceral pleural lamina at the different stages of diagnosis and treatment was studied. Results. A group of patients aged from 4 to 10 years was performed an ultrasound of the pleural cavities in real time without prior preparation on the paraspinal, scapular, axillary, midclavicular, and thoracic lines when admitted to the hospital and on the first day of treatment. Ultrasound was used to determine the structure and volume of free fluid as well as the condition of the parietal and visceral pleural lamina, their thickness, and other features. The use of ultrasound allowed diagnosing the early manifestations of pyofibrothorax and determining the condition of the parietal and visceral pleural lamina in the children with destructive pneumonia. Conclusion. Further improvement of the algorithm of ultrasound diagnosis of acute destructive pneumonia in children with pyofibrothorax will reduce radiation exposure to a child’s body, increase the efficiency of the development and improvement of treatment methods at the stages of pyofibrotorax, reduce the duration of inpatient treatment.