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投稿时间：2021-01-08 网络发布日期：2021-08-20
投稿时间：2021-01-08 网络发布日期：2021-08-20
中文摘要: 目的 探讨肺脏超声在新生儿肺不张中的诊断价值及其在随访中的应用。方法 前瞻性研究昆明医科大学附属德宏医院新生儿科2018年2月至2020年11月收住院治疗的临床诊断为新生儿肺不张患儿305例,包括新生儿呼吸窘迫综合征(NRDS)患儿97例,新生儿肺炎(PN)患儿146例,胎粪吸入综合征(MAS)患儿62例。在治疗前、治疗第5天、出院前分别进行肺脏超声和X线胸片检查,比较两种方法的检查结果。结果 治疗前肺脏超声和X线胸片检查对PN、MAS、NRDS检出率差异无统计学意义(P>0.05)。治疗第5天、出院前两种检查方法对PN、MAS、NRDS治疗效果的检查结果差异无统计学意义(P>0.05)。结论 肺脏超声可用于新生儿肺不张疾病的治疗前诊断、治疗中检查随访、出院前检查评估,与X线胸片检查结果相当。
Abstract:Objective To study the application of lung ultrasound in the diagnosis and follow-up of neonatal pulmonary atelectasis.Methods A prospective study was conducted on 305 cases of neonatal atelectasis hospitalized in Dehong Hospital Affiliated to Kunming Medical University from February 2018 to November 2020.There were 97 cases of neonatal respiratory distress syndrome (NRDS),146 cases of neonatal pneumonia (PN) and 62 cases of meconium aspiration syndrome (MAS).Before treatment,during treatment and before discharge,lung ultrasound and chest X-ray examination were performed to compare the results of two methods.Results There were no significant differences in the detection rates of PN,MAS and NRDS before treatment and the judgment of therapeutic effect at 5 days after treatment and before discharge by two methods (P>0.05).conclusions Lung ultrasound can be used for the diagnosis of neonatal atelectasis before treatment and the evaluations during treatment and before discharge and is comparable to chest X-ray examination.
keywords: Neonates Atelectasis Lung ultrasound Chest X-ray
文章编号： 中图分类号：R563.2 R272.1 文献标志码：B
基金项目:云南省教育厅科学研究基金项目(2019J1316)
引用文本：
封在李,杨晓,周策勋,等.肺脏超声在新生儿肺不张诊断与随访中的应用[J].中国临床研究,2021,34(8):1081-1084.
封在李,杨晓,周策勋,等.肺脏超声在新生儿肺不张诊断与随访中的应用[J].中国临床研究,2021,34(8):1081-1084.