Kurepa D, Zaghloul N, Watkins L, Liu J
Division of Neonatal-Perinatal Medicine, Cohen Children's Medical Center, New Hyde Park, NY, USA.
Division of Pediatric Critical Care, Cohen Children's Medical Center, New Hyde Park, NY, USA.
J Perinatol. 2018 Jan;38(1):11-22. doi: 10.1038/jp.2017.140. Epub 2017 Nov 16.
Point-of-care ultrasound (POC-US) is increasingly used especially in emergency and critical-care medicine. It is focused, quick and does not expose patients to ionizing radiation. It encompasses all organ systems and has well-defined indications. Lung ultrasound (LUS) represents one of the most exciting applications in the field of POC-US. It is particularly important to emphasize the role of LUS in neonatology due to the specific pathology inherent in lung immaturity as well as in the particular sensitivity of neonates to repeated radiation exposure. One of the main barriers to the more extensive use of the ultrasound technology is a lack of efficient and attractive training solutions followed by the structured quality-check assurance. In an effort to help bridge this gap, based on the most current literature, we developed creative and intuitive neonatal LUS algorithms. We hope they can serve as a clinical imaging guidelines and a valuable complement to the history and physical exam.
床旁超声（POC-US）在急诊和重症医学中应用越来越广泛。它具有针对性、快速，且不会使患者暴露于电离辐射。它涵盖所有器官系统，并有明确的适应证。肺部超声（LUS）是床旁超声领域最令人兴奋的应用之一。由于肺部不成熟所固有的特殊病理情况以及新生儿对反复辐射暴露的特殊敏感性，强调LUS在新生儿学中的作用尤为重要。超声技术更广泛应用的主要障碍之一是缺乏高效且有吸引力的培训方案以及结构化的质量检查保证。为了帮助弥合这一差距，我们基于最新文献开发了创新且直观的新生儿LUS算法。我们希望它们能作为临床成像指南以及对病史和体格检查的宝贵补充。
