THE IMPORTANCE OF PULMONARY ULTRASONOGRAPHY FOR THE DIAGNOSIS OF COVIDATE PNEUMONIA IN THE CONDITIONS OF A RURAL POLYCLINIC
The analysis established that among the surveyed people prevailed young people up to 35 years old - 20, elderly patients were only 3. There were 19 men, 9 women (and 2 women were pregnant with a period of up to 20 weeks). Studies according to the BLUE protocol, in 16 patients, changes were detected on both sides in the posterior-basal parts of the lungs, and the greatest number of B-lines was noted locally in the area of the lesion. From the echo of signs of pneumonia in COVID-19, it was revealed: in 13 patients - thickening, unevenness of the pleural line; variants of B-patterns - focal, confluent or multifocal B-lines in 18; consolidations - subpleural, lobar - in 10. Thus, the detection of a large number of confluent B-lines is a consequence of an infectious-inflammatory process affecting the interstitium, which corresponds to the phenomenon of "ground glass" on CT. In 10 patients, the identified unevenly distributed focal B-lines corresponded to the initial stage of pneumonia, in 14 patients, the revealed alveolar-interstitial changes were a phase of progression; 4 patients had A-lines in the affected area, which corresponded to the phase of pneumonia resolution.
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