Welcome to visit Zhongnan Medical Journal Press Series journal website!

Home Articles Vol 36,2023 No.6 Detail

The diagnostic value of pulmonary ultrasound in neonatal atelectasis

Published on Jul. 03, 2023Total Views: 524 times Total Downloads: 171 times Download Mobile

Author: Xiao-Feng YANG 1 Ying-Yun WANG 2 You-Hong LIU 2

Affiliation: 1. Department of Ultrasound Medicine, The First Affiliated Hospital of Henan University of Science and Technolo-gy, Luoyang 471000, Henan Province, China 2. Department of Pediatrics, The First Affiliated Hospital of Henan University of Science and Technology, Luoyang 471000, Henan Province, China

Keywords: Newborn Atelectasis Pulmonary ultrasound Chest X-ray Diagnostic efficiency

DOI: 10.12173/j.issn.1004-4337.202303041

Reference: Yang XF, Wang YY, Liu YH. The diagnostic value of pulmonary ultrasound in neonatal atelectasis[J]. Journal of Mathematical Medicine, 2023, 36(6): 452-457. DOI: 10.12173/j.issn.1004-4337.202303041[Article in Chinese]

  • Abstract
  • Full-text
  • References
Abstract

Objective  To investigate the clinical value of pulmonary ultrasound in the exami-nation of atelectasis in neonates.

Methods  200 children with suspected neonatal atelectasis admitted to The First Affiliated Hospital of Henan University of Science and Technology from Semptember 2020 to December 2021 were selected as study subjects. All the children received chest X-ray and pulmonary ultrasound examination. The clinical diagnosis results were regarded as the gold standard, and the re-sults of different methods were analyzed and discussed.

Results  There was no statistical difference between two methods in the positive detection rate of focal atelectasis (P>0.05). In terms of the positive detection rate of latent atelectasis, the rate of pulmonary ultrasound was higher compared to the rate of chest X-ray  (92.3% vs. 53.85%, P=0.027). The diagnostic efficiency of pulmonary ultrasound was higher than that of chest X-ray (P<0.05). In addition, there was no statistical significance in treatment evaluation 5 days after treatment and before discharge (P>0.05).

Conclusion  Pulmonary ultrasound has good diagnostic efficacy for neonatal atelectasis and has a positive effect on the follow-up during treatment and pre discharge evaluation.

Full-text
Please download the PDF version to read the full text: download
References

1.庞光连, 韦舒静, 李婷婷, 等. 肺脏超声在儿童社区获得性肺炎诊断中的临床应用价值[J]. 临床肺科杂志, 2020, 25(11): 1655-1658. [Pang GL, Wei SJ, Li TT, et al. Clinical application value of lung ultrasound in diagnosis of children with community-acquired pneumonia[J]. Journal of Clinical Pulmonary Medicine, 2020, 25(11): 1655-1658.] DOI: 10.3969/j.issn.1009-6663.2020.11.007.

2.邱如新, 郭九叶, 刘敬. 肺脏超声监测在新生儿肺部疾病治疗中的应用[J]. 中华实用儿科临床杂志, 2019, 34(1): 13-18. [Qiu RX, Guo JY, Liu J. Application of lung ultrasound monitoring in the management of neonatal lung diseases[J]. Chinese Journal of Applied Clinical Pediatrics, 2019, 34(1): 13-18.] DOI: 10.3760/cma.j.issn.2095-428X.2019.01.004.

3.王英俊, 刘璐, 董玉斌, 等. 肺脏超声监测纤维支气管镜下行支气管肺泡灌洗治疗新生儿肺不张29例回顾性分析[J]. 中国小儿急救医学, 2019, 26(8): 596-599. [Wang YJ, Liu L, Dong YB, et al. Retrospective analysis of 29 cases of neonatal atelectasis treated by ultrasound-assisted fiberoptic bronchoscopy and bronchoalveolar lavage[J]. Chinese Pediatric Emergency Medicine, 2019, 26(8): 596-599.] DOI: 10.3760/cma.j.issn.1673-4912.2019.08.009.

4.郑双, 乔彦霞, 张明, 等. 肺部超声在支气管肺泡灌洗治疗新生儿肺不张效果评估中的应用价值[J]. 临床超声医学杂志, 2021, 23(7): 550-552. [Zheng S, Qiao YX, Zhang M, et al. Value of the evaluation of lung ultrasound on the effect of bronchoalveolar lavage treating neonatal atelectasis[J]. Journal of Clinical Ultrasound in Medicine, 2021, 23(7): 550-552.] DOI: 10.3969/j.issn.1008-6978.2021.07.023.

5.张其俐, 梁晓宁, 郭瑞君, 等. 超声对支气管肺泡灌洗术治疗儿童重症支原体肺炎疗效评估[J]. 中国超声医学杂志, 2022, 38(10): 1105-1108. [Zhang QL, Liang XN, Guo RJ, et al. Evaluation of the efficacy of ultrasound in bronchoalveolar lavage in the treatment of severe mycoplasma pneumonia in children[J]. Chinese Journal of Ultrasound in Medicine, 2022, 38(10): 1105-1108.] DOI: 10.3969/j.issn.1002-0101.2022.10.007.

6.杨海, 李强. 超声在新生儿肺部疾病诊断中的应用[J]. 影像研究与医学应用, 2021, 5(11): 141-142. [Yang H, Li Q. Application of ultrasound in the diagnosis of neonatal lung diseases[J]. Journal of Imaging Research and Medical Applications, 2021, 5(11): 141-142.] DOI: 10.3969/j.issn.2096-3807.2021.11.069.

7.封在李, 杨晓, 周策勋, 等. 肺脏超声在新生儿肺不张诊断与随访中的应用[J]. 中国临床研究, 2021, 34(8): 1081-1084. [Feng ZL, Yang X, Zhou CX, et al. Lung ultrasound in diagnosis and follow-up of neonatal pulmonary atelectasis[J]. Chinese Journal of Clinical Research, 2021, 34(8): 1081-1084.] DOI: 10.13429/j.cnki.cjcr.2021.08.017.

8.伊晓东, 马丽, 马立成, 等. 肺部超声诊断新生儿和小儿肺炎的临床应用研究[J]. 实用医学影像杂志, 2020, 21(6): 646-647. [Yi XD, Ma L, Ma LC, et al. Clinical application of pulmonary ultrasound in diagnosis of neonatal and infantile pneumonia[J]. Journal of Practical Medical Imaging, 2020, 21(6): 646-647.] DOI: 10.16106/j.cnki.cn14-1281/r.2020.06.029.

9.石就家, 叶依娜, 刘松. 肺脏超声在新生儿胎粪吸入综合征的诊断价值[J]. 中外医疗, 2019, 38(22): 187-189. [Shi JJ, Ye YN, Liu S. Diagnostic value of pulmonary ultrasound in neonatal meconium aspiration syndrome[J]. China Foreign Medical Treatment, 2019, 38(22): 187-189.] DOI: 10.16662/j.cnki.1674-0742.2019.22.187.

10.封在李, 杨明杰, 段正凡, 等. 肺脏超声在新生儿肺复张检查和评估撤机中的临床应用价值[J]. 四川医学, 2021, 42(10): 976-979. [Feng ZL, Yang MJ, Duan ZF, et al. Clinical value of pulmonary ultrasonography in checking the normal alveoli and evaluation of ventilator with-drawal in neonates[J]. Sichuan Medical Journal, 2021, 42(10): 976-979.] DOI: 10.16252/j.cnki.issn1004-0501-2021.10.002.

11.李兆柱, 邱鹏远, 刘庆初, 等. 肺部超声在新生儿肺部疾病诊断中的应用[J]. 医学理论与实践, 2021, 34(10): 1744-1746. [Li ZZ, Qiu PY, Liu QC, et al. Application of pulmonary ultrasound in the diagnosis of neonatal lung diseases[J]. The Journal of Medical Theory and Practice, 2021, 34(10): 1744-1746.] DOI: 10.19381/j.issn.1001-7585.2021.10.057.

12.汪丹, 陈松. 高频超声在新生儿肺部疾病诊断中的应用[J]. 临床超声医学杂志, 2019, 21(5): 372-374. [Wang D, Chen S. Application of ultrasound in diagnosis of neonatal pulmonary diseases[J].Journal of Clinical Ul-trasound in Medicine, 2019, 21(5): 372-374.] DOI: 10.3969/j.issn.1008-6978.2019.05.016.

13.洪莲, 林诗彬, 符川, 等. 床旁肺脏超声在新生儿肺部疾病诊断中的临床应用[J]. 中华肺部疾病杂志(电子版), 2019, 12(4): 487-489. [Hong L, Lin SB, Fu C, et al. Clinical application of bedside ultrasound in the diagnosis of neonatal lung diseases[J]. Chinese Journal of Lung Diseases (Electronic Edition), 2019, 12(4): 487-489.] DOI: 10.3877/cma.j.issn.1674-6902.2019.04.018.

14.肖燕燕, 李建宁, 蒋雪梅. 超声在常见肺部疾病诊断中的应用[J]. 中国中西医结合影像学杂志, 2020, 18(3): 316-320. [Xiao YY, Li JN, Jiang XM. Application of ultrasound in the diagnosis of common pulmonary diseases[J]. Chinese Imaging Journal of Integrated Traditional and Western Medicine , 2020, 18(3): 316-320.] DOI: 10.3969/j.issn.1672-0512.2020.03.030.

15.封在李, 尹兆青, 段正凡, 等. 肺脏超声在新生儿肺不张疾病检查中的应用价值[J]. 中国临床新医学, 2021, 14(1): 56-59. [Feng ZL, Yin ZQ, Duan ZF, et al. The application value of lung ultrasound in the examination of neonatal atelectasis[J]. Chinese Journal of New Clinical Medicine, 2021, 14(1): 56-59.] DOI: 10.3969/j.issn.1674-3806.2021.01.10.

16.解晓莹, 裴广华. 高频超声在新生儿肺部疾病中的应用[J].中国药物与临床, 2020, 20(13): 2157-2158. [Xie XY, Pei GH. Application of high frequency ultrasound in neonates with pulmonary diseases[J]. Chinese Remedies & Clinics, 2020, 20(13): 2157-2158.] DOI: 10.11655/zgywylc2020.13.021.

17.陈秋萍, 吴志坚, 陈荣. 肺部超声在早产低体质量儿肺部疾病诊断中的临床应用[J]. 实用医技杂志, 2021, 28(8): 979-980. [Chen QP, Wu ZJ, Chen R. Clinical application of pulmonary ultrasound in the diagnosis of lung diseases in premature infants with low body mass[J]. Journal of Practical Medical Techniques, 2021, 28(8): 979-980.] DOI: 10.19522/j.cnki.1671-5098.2021.08.008.

18.谭乐. 肺脏超声在新生儿呼吸机治疗中的应用[J]. 当代医学, 2020, 26(29): 24-26. [Tan L. Application of lung ultrasound in the treatment of neonatal ventilator[J]. Contemporary Medicine, 2020, 26(29): 24-26.] DOI: 10.3969/j.issn.1009-4393.2020.29.009.

19.吴群, 张鑫, 李培, 等. 超声心动图对儿童肺动脉高压的病因分析[J]. 中国超声医学杂志, 2020, 36(11): 995-997. [Wu Q, Zhang X, Li P, et al. Echocardiographic analysis in the etiological diagnosis of pulmonary hy-pertension in children[J]. Chinese Journal of Ultrasound in Medicine, 2020, 36(11): 995-997.] DOI: 10.3969/j.issn.1002-0101.2020.11.009.

20.葛继帮, 李学广, 郑利会. 超声弹性成像及彩超在新生儿肺部疾病诊断中应用观察[J]. 中国医学工程, 2019, 27(11): 80-82. [Ge JB, Li XG, Zheng LH. Application of ultrasonic elastic imaging and color Doppler ultrasound in diagnosis of neonatal pulmonary diseases[J]. Chinese Journal of Medical Engineering, 2019, 27(11): 80-82.] DOI: 10.19338/j.issn.1672-2019.2019.11.024.

Popular papers
Last 6 months