肺心下腔靜脈綜合超聲聯(lián)合BNP對心源性呼吸困難的鑒別診斷價值

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[關(guān)鍵詞］肺心下腔靜脈綜合超聲；利鈉肽，腦;呼吸困難；心力衰竭；診斷，鑒別[中圖分類號]R441.8 [文獻標(biāo)志碼］A [文章編號] 2096-5532（2025）03-0387-04doi：10.11712/jms.2096-5532.2025.61.071 [開放科學(xué)（資源服務(wù)）標(biāo)識碼（OSID）

[網(wǎng)絡(luò)出版]https：//link.cnki.net/urlid/37.1517.R.20250627.1107.003； 2025-06-27 16：32：21

Valueoflung-cardiac-inferiorvenacavaintegratedultrasoundcombinedwithbrainnatriureticpeptideinthdiferentialdiagnoisof cardiogenic dyspneaGAO Shuaishuai，GENG Yun，LIU Yong（Departmentof Ultrasound，Qingdao Hiser Hospital ffiliated to QingdaoUniversity，Qingdao 266o33，China）

[Abstract]ObjectiveToinvestigatethevalueof lung-cardiac-inferior venacava integratedultrasound combined withbrain natriureticpeptide（BNP）inthedifferentialdiagnosisofcardiogenicdyspnea.MethodsAtotalof115patientswithacutedyspnea who wereadmitedtoQingdaoHiserHospitalAffliatedtoQingdaoUniversityfromOctober2O2 toSeptember2023wereenrolledassubjects，andacording tothefinaldiagnosis，theyweredividedintocardiogenic groupwith6Opatientsandpulmonary group with 55 patients.Lung-cardiac-inferiorvena cava integratedultrasound was performed and serum BNPlevel was measured within 2h afteradmission.Thecorrelationof the total numberof B-lines with BNP，leftventricular ejection fraction（LVEF），and inferiorvenacavacollapseindex （IVC-CI）wasanalyzed，andthereceiveroperating characteristic（ROC）curvewasused toaalyze thevalueoflung-cardiac-inferiorvenacavaintegratedultrasoundcombinedwithBNPinthediagnosisofcardiogenicdyspnea.ResultsThe total number of B-lines was linearly positively correlated with BNP（ '=0.681，P<0.05? and was linearly negatively correlated with LVEF and IVC-CI in both groups （r=-0.408，-0.465，P<0.05） . The ROC curve analysis showed that the total numberof B-lines，LVEF，IVC-CI，and BNPused alone or incombination had an area under the ROCcurve（AUC）of 0.822， 0.763，0.822，0.881，andO.979，respectively，suggesting that each indicatorused alonehadalower AUCthanthecombinationof the four indicators （ ?P<0.05? .Conclusion Lung-cardiac-inferior vena cava integrated ultrasound combined with BNP has a high valuenthediagnosisofcardiogenicdyspneaandcanprovideanimportantbasisfortherapiddiferentialdiagnosisofcardiogenic dyspnea in clinical practice，and therefore，it holds promise for clinical application.

[Key words]lung-cardiac-inferiorvenacava integratedultrasound;natriuretic peptide，brain；dyspnea；heartfailure;diagno sis，differential

呼吸困難是急診最常見的癥狀之一[1]，病人主觀上感到呼吸費力，其病因多種多樣，主要分為心源性呼吸困難和肺源性呼吸困難[2]，心源性呼吸困難的主要原因是急性心力衰竭（AHF）[3]。（剩余8960字）