Objective:

To explore the value of bedside ultrasound for evaluation of disease status of patients with coronavirus disease 2019 (COVID-19).

Methods:

From Feb. 7 to Feb. 29

2020

40 patients of the total 294 patients diagnosed with COVID-19 were admitted to Shanghai Public Health Clinical Center. The clinical data and ultrasound examination results of these patients were retrospectively collected and analyzed.

Results:

Of the 40 patients

20 males and 20 females

aged 25-82 (mean 62.2) years. Twelve abd

ominal ultrasound examinations revealed: 5 fatty liver

1 cirrhosis

1 splenomegaly

1 liver morphology abnormality

1 gallbladder stones and 1 gallbladder polyps

5 cholestasis

1 double kidney stones

mild left hydrocephalus and benign prostatic hyperplasia; Forty-three cardiac echocardiography examinations in 20 patients revealed 15 cases with varying degrees of basic heart disease or heart disease after illness

including 11 left ventricular diastolic dysfunction

3 pulmonary hypertension

and 5 pericardial effusion; the other 5 cases had no obvious abnormalities in resting state. Peripheral blood vessel examinations in 14 patients revealed: 6 vein thrombosis and 5 arterial plaque in lower limbs

respectively; the other 5 cases showed no abnormalities in arteriovenous veins of lower limbs. Sixty-five chest and lung ultrasound examinations were performed in all forty patients

and multiple lung lesions of various sizes were detected

and 19 pleural effusion were detected.

Conclusion:

Bedside ultrasound in the emergency ward is helpful in the assessment of underlying disease status and to determine whether there are systemic multiple organ damage and secondarylesions caused by novel coronavirus.