超声诊断早产儿感染性肺炎

发布时间：2018-02-28 05:34

本文关键词： 超声检查婴儿早产肺炎　出处：《中国介入影像与治疗学》2016年11期 　论文类型：期刊论文

【摘要】：目的探讨超声诊断早产儿感染性肺炎的临床价值。方法分析146例感染性肺炎早产儿的胸部X线和肺部超声资料;于第1天、第3~5天、第8~15天,对其中20例感染性肺炎患儿肺部疾病进展进行超声监测。结果 146例感染性肺炎患儿中,胸部X片正确诊断135例(135/146,92.47%),超声正确诊断143例(143/146,97.95%)。143例感染性肺炎患儿肺部声像图中,肺实变伴支气管充气征、彗星尾征、支气管液相、胸腔积液的阳性率分别为94.41%(135/143)、51.05%(73/143)、20.28%(29/143)和26.57%(38/143)。第1天、第3~5天、第8~15天,20例感染性肺炎患儿肺部实变低回声区范围分别为(7.63±6.10)cm2、(3.85±5.74)cm2、(1.50±1.30)cm2。结论超声可实时、准确监测早产儿感染性肺炎的进展,且无辐射,可作为早产儿感染性肺炎的首选诊断方法。
[Abstract]:Objective to evaluate the clinical value of ultrasound in diagnosis of infectious pneumonia in premature infants. Methods the chest X-ray and pulmonary ultrasound data of 146 premature infants with infectious pneumonia were analyzed on day 1, day 3, day 8 and day 15. Results among 146 cases of infective pneumonia, 135 cases were correctly diagnosed by chest X ray and 143 cases were diagnosed correctly by ultrasound in 143 cases. The positive rates of lung consolidation with bronchi inflation sign, comet tail sign, bronchi liquid phase and pleural effusion were 94.41 and 94.41, respectively. The positive rates of lung consolidation with bronchi inflation sign, comet tail sign, bronchopulmonary liquid phase and pleural effusion were 94.41 and 13.35% 143.05% respectively. The range of the low echo area of pulmonary consolidation in 20 children with infective pneumonia was 7.63 卤6.10g / cm ~ (2) 3.85 卤5.74 / cm ~ (2) ~ (-1) 卤1.50 卤1.30 ~ (cm ~ (2)) respectively. Conclusion Ultrasound can monitor the progression of infective pneumonia of premature infants in real time and has no radiation, so it can be used as the first choice for diagnosis of infectious pneumonia in premature infants.
【作者单位】：中南大学湘雅二医院超声科;
【基金】：湖南省自然科学基金(12JJ3102)
【分类号】：R722.6;R445.1

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