与X线胸片对比分析肺超声在基层新生儿肺炎诊断中价值
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- 英文论文题名：The comparison of application of chest x-ray examination and lung ultrasonography in the diagnosis of neonatal pneumonia
- 论文作者：彭利 ; 王竞宇 ; 文强 ; 何莲 ; 张恩荣 ; 慕安庆
- 英文论文作者：PENG Li ; WANG Jing-yu ; WEN Qiang ; HE Lian ; ZHANG En-rong ; MU An-qing ; Department of Ultrasonic The First Peoples' Hospital of Longquanyi
- 年：2016
- 作者机构：成都市龙泉驿区第一人民医院超声影像科;
- 论文关键词：肺超声 ; 新生儿肺炎 ; 应用价值
- 英文论文关键词：Lung ultrasound ; neonatal pneumonia ; application
- 会议召开时间：2016-08-21
- 会议录名称：2016’中国西部声学学术交流会论文集
- 语种：中文
- 分类号：R722.135;R445.1;R816.92
- 学会代码：SXJS
- 会议名称：2016’中国西部声学学术交流会
- 会议地点：中国四川成都
- 主办单位：中国声学学会微声学分会、中国声学学会物理声学分会、陕西省声学学会、浙江省声学学会、山东省声学学会、上海市声学学会、黑龙江省声学学会、水声技术重点实验室、重庆市声学学会、西安市声学学会、四川省声学学会
- 学会名称：《声学技术》编辑部
- 页数：5
- 文件大小：528k
- 原文格式：D
- 会议级别：全国
摘要
目的与X线胸片对比分析肺超声(lung ultrasonography LUS)在基层新生儿肺炎诊断中的应用价值。方法:回顾分析了我院2014年7月至2015年11月,51例经临床诊断、肺超声(LUS)及X线胸片检查病历资料。其中男28例,女23例;最大年龄28d,最小年龄2d,平均年龄11.5d。出生时最大体重3920g,最小体重2240g,平均体重3155g。将肺超声(LUS)检查结果与临床诊断、X线胸片检查结果作对比研究分析。结果:51例中经肺超声(LUS)检查阳性35例,阳性率68.63%(35/51),阴性16例,占31.37%(16/51)。51例中X线胸片检查阳性33例,阳性率64.71%(33/51),阴性18例,占35.39%(18/51)。以X线胸片检查结果作为对比:51例中肺超声(LUS)检查出阳性32例,阴性15例,共计47例,与X线检查对比完全一致。肺超声(LUS)35例阳性中与X线胸片检查结果对比,超声有3例阳性,X线胸片检查为阴性,超声误诊率为8.57%(3/35);超声阴性16例中1例X线胸片显示阳性,漏诊率为6.25%(1/16)。经统计学处理肺超声(LUS)和X线胸片检查结果的相关系数为0.827(P<0.001),差异具有统计学意义。超声诊断肺炎敏感性、特异性分别为96.97%、83.33%。结论:肺超声(LUS)在基层新生儿肺炎诊断中有重要应用价值,是一项值得在基层医院可推广适宜技术。
Objective: To investigate the application of chest X-ray examination and lung ultrasonography(LUS) in the diagnosis of neonatal pneumonia.Methods: Retrospectively analysis of 51 patients between July 2014 and November 2015 in our hospital with clinical diagnosis, LUS and chest X-ray examination. 28 M, 23F; oldest 23 d, youngest 2d, average age 11.5d; heaviest birth weight(BW) 3920 g, lightest BW 2240 g, average BW 3155 g. Comparative study of LUS medical records with clinical diagnosis and chest X-ray examination. Result: Among 51 cases of LUS, positive rate was 68.63%(35/51), negative 31.37%(16/51); 51 cases of x-ray examination, the positive rate was 64.71%(33/51), negative 35.39%(18/51). Compared to chest x-ray examination results, in 51 cases of LUS, 32 were diagnosed positive, 15 in negative, a total of 47 cases, entirely consistent with the x-ray contrast. 3 of 35 cases with LUS positive was found negative in chest x-ray examination, misdiagnosis rate was 8.57%(3/35), Only 1 of 16 LUS showed positive in chest x-ray, misdiagnosis rate of 6.25%(1/16). Statistically analysis of LUS and chest x-ray examination showed correlation coefficient of 0.827(P<0.001), the difference was statistically significant. LUS diagnosis of pneumonia, sensitivity and specificity are 96.97% and 83.33% respectively.Conclusion: The application of LUS is important in diagnosis of primary neonatal pneumonia. It is worth to promote at the community level.
Objective: To investigate the application of chest X-ray examination and lung ultrasonography(LUS) in the diagnosis of neonatal pneumonia.Methods: Retrospectively analysis of 51 patients between July 2014 and November 2015 in our hospital with clinical diagnosis, LUS and chest X-ray examination. 28 M, 23F; oldest 23 d, youngest 2d, average age 11.5d; heaviest birth weight(BW) 3920 g, lightest BW 2240 g, average BW 3155 g. Comparative study of LUS medical records with clinical diagnosis and chest X-ray examination. Result: Among 51 cases of LUS, positive rate was 68.63%(35/51), negative 31.37%(16/51); 51 cases of x-ray examination, the positive rate was 64.71%(33/51), negative 35.39%(18/51). Compared to chest x-ray examination results, in 51 cases of LUS, 32 were diagnosed positive, 15 in negative, a total of 47 cases, entirely consistent with the x-ray contrast. 3 of 35 cases with LUS positive was found negative in chest x-ray examination, misdiagnosis rate was 8.57%(3/35), Only 1 of 16 LUS showed positive in chest x-ray, misdiagnosis rate of 6.25%(1/16). Statistically analysis of LUS and chest x-ray examination showed correlation coefficient of 0.827(P<0.001), the difference was statistically significant. LUS diagnosis of pneumonia, sensitivity and specificity are 96.97% and 83.33% respectively.Conclusion: The application of LUS is important in diagnosis of primary neonatal pneumonia. It is worth to promote at the community level.
引文
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[2]孙阳,曹宁.新生儿肺炎的X线分析[J].中国当代医药,2011,18(30):79-80
[3]叶熊,张睢扬.肺超声的临床应用进展[J].国际呼吸杂志,2012,32(14):1117-1120
[4]李虹,李一丹,朱维维等.高频胸膜肺超声对呼吸困难患者肺部疾病的诊断价值与CT对照研究[J].中国超声医学杂志,2016,25(4):305-308
[5]Caiulo VA,Gargani L,Caiulo S,et al.Lung ultrasound characteristics of communityacquired pneumonia in hospitalized children[J].Pediatr Pulmonol,2013,48(3):280-287
[6]潘琼珍.新生儿肺炎的X线诊断(附80例胸片分析)[J]中华现代影像学杂志,2006,3(2):167-168
[7]刘敬,王华伟,韩涛等.肺脏超声诊断新生儿感染性肺炎[J].中华围产医学杂志,中华围产医学杂志,2014,17(7):468-472
[8]Cortellaro F,Colombo S,Coen D,et al,lung ultrasound is anaccurate diagnostic tool for the diagnosis of pneumonia in the emergency department[J].Emergenecy edicine.Journal.2012,29(1):19
[9]Ioos V,Galbois A,Chalumeau-Lemoine L,et al.An integrated approach for prescribing fewer chest x-rays in the ICU.Ann intensive Care,2011,1:4
[10]沈刚,何涛,陈祎敏.小儿肺炎实变期的超声观察[J].中国临床医学影像杂志,2011,22(6):419-420
[11]孟珊,王建秋,秦铮等.新生儿感染性肺炎的超声诊断研究进展[J].中国实验诊断学2015,9(8):1431-1433