Gregorio-Hernández Rebeca, Pérez-Pérez Alba, Alonso-Ojembarrena Almudena, Arriaga-Redondo María, Ramos-Navarro Cristina, Sánchez-Luna Manuel
Neonatology Department, Gregorio Marañón University Hospital, Madrid, Spain.
Neonatology Department, Puerta del Mar University Hospital, Cádiz, Spain.
Eur J Pediatr. 2022 Apr;181(4):1751-1756. doi: 10.1007/s00431-021-04329-z. Epub 2021 Nov 29.
Neonatal pneumothorax (NP) is a potentially life-threatening condition. Lung ultrasound (LUS) has shown higher sensitivity and specificity in diagnosis compared to x-rays, but evidence regarding its usefulness in complex NP is lacking. We report four neonates suffering from cardiac or esophageal malformations who developed lateral and/or posterior pneumothoraces, in which LUS helped, making NP diagnosis and management easier and faster.
LUS is an easy-to-use, fast, simple, and accurate tool when evaluating newborns with NP, also in atypical positions such as in surgical patients.
• Lung ultrasound (LUS) has higher sensitivity and specificity than x-rays in the diagnosis of pneumothorax in neonatal patients.
• This is the first report about neonatal pneumothorax in non-conventional areas (lateral/posterior) diagnosed by lung ultrasound and how obtaining this information is critical in order to optimize management.
新生儿气胸（NP）是一种可能危及生命的疾病。与X线相比，肺部超声（LUS）在诊断中显示出更高的敏感性和特异性，但缺乏其在复杂性NP中有用性的证据。我们报告了4例患有心脏或食管畸形的新生儿，他们发生了侧方和/或后方气胸，LUS在其中发挥了作用，使NP的诊断和管理更加容易和快速。
在评估患有NP的新生儿时，LUS是一种易于使用、快速、简单且准确的工具，在非典型位置（如手术患者）也是如此。
• 在新生儿患者气胸的诊断中，肺部超声（LUS）比X线具有更高的敏感性和特异性。
• 这是关于通过肺部超声诊断非传统区域（侧方/后方）新生儿气胸的首份报告，以及获取该信息对于优化管理如何至关重要。
