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肺部超声检查在新生儿肺部疾病诊断中的应用

Lung ultrasonography for the diagnosis of neonatal lung disease.

作者信息

Liu Jing

机构信息

Department of Neonatology & NICU of Bayi Children's Hospital, General Hospital of Beijing Military Command , Beijing , China.

出版信息

J Matern Fetal Neonatal Med. 2014 May;27(8):856-61. doi: 10.3109/14767058.2013.844125. Epub 2013 Oct 17.

Abstract

Ultrasound has recently become an important method for diagnostic examination and monitoring of lung disease. Many lung diseases, such as respiratory distress syndrome, transient tachypnea of the newborn, pneumonia, atelectasis and pneumothorax were diagnosed by chest X-ray or CT scan in the past, but can now easily be diagnosed with lung ultrasound. Lung ultrasound has many advantages over X-ray and CT scan including accuracy, reliability, low-cost and simplicity, as well as the fact that ultrasound incurs no risk of radiation damage. It is therefore feasible and convenient to perform at the bedside in a neonatal ward. This review focuses on features of bedside lung ultrasound and diagnosis features of common lung diseases in newborn infants, culminating in suggestions for improving the application of ultrasound in the neonatal field.

摘要

超声最近已成为诊断检查和监测肺部疾病的重要方法。过去,许多肺部疾病,如呼吸窘迫综合征、新生儿短暂性呼吸急促、肺炎、肺不张和气胸,都是通过胸部X线或CT扫描诊断的,但现在通过肺部超声很容易诊断出来。与X线和CT扫描相比,肺部超声具有许多优点,包括准确性、可靠性、低成本和操作简便,而且超声不会有辐射损伤的风险。因此,在新生儿病房床边进行操作是可行且方便的。本综述重点关注床边肺部超声的特点以及新生儿常见肺部疾病的诊断特点,最后提出改进超声在新生儿领域应用的建议。

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