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儿科肺部超声 - 优势与潜力。

Pediatric lung ultrasound - pros and potentials.

机构信息

Radiology Department, Faculty of Medicine, University of Novi Sad and Institute for Children and Adolescents Health Care of Vojvodina, Hajduk Veljkova 3, Novi Sad, 21000, Serbia.

出版信息

Pediatr Radiol. 2020 Mar;50(3):306-313. doi: 10.1007/s00247-019-04525-y. Epub 2020 Feb 17.

DOI:10.1007/s00247-019-04525-y
PMID:32065266
Abstract

Lung ultrasound (US) cannot be considered a new diagnostic imaging technique anymore, with some articles dating back 50 years. The question that hovers over it recently is why it is still not widely accepted, like chest radiography. So, have we wasted a lot of time without using lung US, or are we wasting our time using lung US? The main goals of this article are to underline all the advantages, potentials and reasons to use lung US in everyday clinical practice, but also to address the main concerns linked to this imaging tool. From the standpoint of an experienced pediatric radiologist from a tertiary health care children's hospital who has been performing this examination for more than 10 years on a daily basis, this article also addresses the most common applications of lung US, such as detection of pneumonia and neonatal lung diseases.

摘要

肺部超声(US)不能再被视为一种新的诊断成像技术了,有些文章可以追溯到 50 年前。最近人们关注的问题是,为什么它还没有像胸部 X 光那样被广泛接受。那么,我们是在没有使用肺部超声的情况下浪费了很多时间,还是在使用肺部超声的情况下浪费了时间?本文的主要目的是强调在日常临床实践中使用肺部超声的所有优势、潜力和原因,但也要解决与这种成像工具相关的主要问题。本文站在一位有经验的儿科放射科医生的角度,他在一家三级儿童医院从事这项检查已经超过 10 年,每天都在进行这项检查。本文还介绍了肺部超声的最常见应用,如肺炎和新生儿肺部疾病的检测。

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1
Pediatric lung ultrasound - pros and potentials.儿科肺部超声 - 优势与潜力。
Pediatr Radiol. 2020 Mar;50(3):306-313. doi: 10.1007/s00247-019-04525-y. Epub 2020 Feb 17.
2
Ultrasound of the pediatric chest.小儿胸部超声检查
Br J Radiol. 2019 Aug;92(1100):20190058. doi: 10.1259/bjr.20190058. Epub 2019 May 16.
3
[Chest ultrasonography in pediatric critical care practice].[儿科重症监护实践中的胸部超声检查]
Ann Fr Anesth Reanim. 2013 Dec;32(12):e219-23. doi: 10.1016/j.annfar.2013.10.007. Epub 2013 Oct 31.
4
Performance of Bedside Lung Ultrasound by a Pediatric Resident: A Useful Diagnostic Tool in Children With Suspected Pneumonia.儿科住院医师进行床边肺部超声检查:一种用于疑似肺炎儿童的有用诊断工具。
Pediatr Emerg Care. 2018 Sep;34(9):618-622. doi: 10.1097/PEC.0000000000000888.
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Emergency Department Resource Use in Pediatric Pneumonia: Point-of-Care Lung Ultrasonography versus Chest Radiography.儿科肺炎患者急诊科资源利用情况:即时超声肺部检查与胸部X线摄影对比
J Ultrasound Med. 2019 Feb;38(2):407-414. doi: 10.1002/jum.14703. Epub 2018 Jul 19.
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Lung ultrasound: its role in neonatology and pediatrics.肺部超声:在新生儿学和儿科学中的应用。
Early Hum Dev. 2013 Jun;89 Suppl 1:S17-9. doi: 10.1016/S0378-3782(13)70006-9.
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Accuracy and reliability of bedside thoracic ultrasound in detecting pulmonary pathology in a heterogeneous pediatric intensive care unit population.床旁胸部超声在检测异质性儿科重症监护病房人群肺部病变中的准确性和可靠性。
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Lung ultrasound in pediatric radiology - cons.儿科放射学中的肺部超声 - 适应证。
Pediatr Radiol. 2020 Mar;50(3):314-320. doi: 10.1007/s00247-019-04524-z. Epub 2020 Feb 17.
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Lung ultrasonography for the diagnosis of neonatal lung disease.肺部超声检查在新生儿肺部疾病诊断中的应用
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本文引用的文献

1
Reduced or Absent "Lung Sliding" - A Novel Lung Ultrasound Sign of Pediatric Foreign Body Aspiration.“肺滑动”减弱或消失——小儿异物吸入的一种新型肺部超声征象
J Ultrasound Med. 2019 Nov;38(11):3079-3082. doi: 10.1002/jum.14988. Epub 2019 Mar 20.
2
Chest and lung ultrasound in childhood: applications, role, value and limitations.儿童胸部和肺部超声检查:应用、作用、价值及局限性
J Ultrason. 2018;18(75):281-283. doi: 10.15557/JoU.2018.0040.
3
Lung Ultrasound Score Predicts Surfactant Need in Extremely Preterm Neonates.肺超声评分预测极早产儿需要表面活性剂。
一种用于肺部超声成像的靶向呼吸道黏液层的可吸入性造影剂的研发。
Sci Rep. 2024 Dec 1;14(1):29840. doi: 10.1038/s41598-024-80933-x.
4
Acute Respiratory Failure in Children: A Clinical Update on Diagnosis.儿童急性呼吸衰竭:诊断的临床最新进展
Children (Basel). 2024 Oct 12;11(10):1232. doi: 10.3390/children11101232.
5
Differentiating Viral from Bacterial Pneumonia in Children: The Diagnostic Role of Lung Ultrasound-A Prospective Observational Study.儿童病毒性肺炎与细菌性肺炎的鉴别:肺部超声的诊断作用——一项前瞻性观察研究
Diagnostics (Basel). 2024 Feb 23;14(5):480. doi: 10.3390/diagnostics14050480.
6
Tiny Lungs, Big Differences: Navigating the Varied COVID-19 Landscape in Neonates vs. Infants via Biomarkers and Lung Ultrasound.微小肺部,巨大差异:通过生物标志物和肺部超声探索新生儿与婴儿中不同的新冠疫情态势
Biomedicines. 2024 Feb 13;12(2):425. doi: 10.3390/biomedicines12020425.
7
Lung Ultrasonography Does Not Distinguish between Interstitial and Alveolar Pulmonary Edema.肺部超声检查无法区分间质性肺水肿和肺泡性肺水肿。
Diagnostics (Basel). 2024 Feb 2;14(3):324. doi: 10.3390/diagnostics14030324.
8
Imaging of Acute Complications of Community-Acquired Pneumonia in the Paediatric Population-From Chest Radiography to MRI.儿童社区获得性肺炎急性并发症的影像学检查——从胸部X线摄影到磁共振成像
Children (Basel). 2024 Jan 18;11(1):122. doi: 10.3390/children11010122.
9
COVID-19 in Infants and Children under 2 Years-Could Lung Ultrasound Score Be Correlated with Biomarkers and Symptoms?2岁以下婴幼儿的新型冠状病毒肺炎——肺部超声评分与生物标志物及症状是否相关?
Biomedicines. 2023 Sep 24;11(10):2620. doi: 10.3390/biomedicines11102620.
10
Editorial: Application of lung ultrasound in the management of pediatric lung diseases.社论:肺部超声在小儿肺部疾病管理中的应用
Front Pediatr. 2023 Jan 25;11:1140403. doi: 10.3389/fped.2023.1140403. eCollection 2023.
Pediatrics. 2018 Sep;142(3). doi: 10.1542/peds.2018-0463. Epub 2018 Aug 14.
4
Ultrasound in neonatal lung disease.新生儿肺部疾病中的超声检查
Quant Imaging Med Surg. 2018 Jun;8(5):535-546. doi: 10.21037/qims.2018.06.01.
5
Lung ultrasonography score versus chest X-ray score to predict surfactant administration in newborns with respiratory distress syndrome.肺部超声评分与胸部 X 射线评分对预测呼吸窘迫综合征新生儿应用肺表面活性剂的价值。
Pediatr Pulmonol. 2018 Sep;53(9):1231-1236. doi: 10.1002/ppul.24076. Epub 2018 Jun 5.
6
Lung Ultrasound Findings in Congenital Pulmonary Airway Malformation.先天性肺气道畸形的肺部超声表现。
Am J Perinatol. 2018 Oct;35(12):1222-1227. doi: 10.1055/s-0038-1645861. Epub 2018 May 1.
7
Lung ultrasound compared to chest X-ray for diagnosis of pediatric pneumonia: A meta-analysis.肺部超声与胸部 X 光片诊断小儿肺炎的比较:一项荟萃分析。
Pediatr Pulmonol. 2018 Aug;53(8):1130-1139. doi: 10.1002/ppul.24020. Epub 2018 Apr 26.
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Lung ultrasound for the diagnosis of community-acquired pneumonia in children.肺部超声用于儿童社区获得性肺炎的诊断。
Pediatr Radiol. 2017 Oct;47(11):1412-1419. doi: 10.1007/s00247-017-3910-1. Epub 2017 Sep 21.
9
Role of chest ultrasound in neonatal lung disease: a review of current evidences.胸部超声在新生儿肺部疾病中的作用:当前证据综述
J Matern Fetal Neonatal Med. 2019 Jan;32(2):310-316. doi: 10.1080/14767058.2017.1376317. Epub 2017 Sep 14.
10
Intravenous and Intracavitary Use of Contrast-Enhanced Ultrasound in the Evaluation and Management of Complicated Pediatric Pneumonia.超声造影剂在儿科复杂性肺炎评估与治疗中的静脉及腔内应用
J Ultrasound Med. 2017 Sep;36(9):1943-1954. doi: 10.1002/jum.14269. Epub 2017 Jun 19.