超声诊断在新生儿肺炎中的应用价值

Application value of ultrasound diagnosis in neonatal pneumonia

目的:探究在新生儿肺炎患儿中应用超声诊断的临床价值。方法:2018年1月-2021年1月收治新生儿肺炎患儿112例,按检查方式不同分为两组,各56例。对照组实施X线检查;研究组实施床旁超声检查。比较两组诊断结果。结果:研究组检出率高于对照组,差异有统计学意义(P<0.05)。经肺部超声检查超声特征可见,不同程度B线声像56例(100%),肺实变38例(67.86%),支气管充气征20例(35.71%),肺泡间质综合征22例(39.29%),胸腔积液2例(3.57%),肺滑动征消失2例(3.57%)。结论:床旁超声可以提高新生儿肺炎患儿的检出率,而且可以通过典型的超声声像图特征予以辅助诊断,为临床早期诊断提供可靠根据,具备显著临床价值。

Objective:To explore the clinical value of ultrasound diagnosis in children with neonatal pneumonia.Methods:From January 2018 to January 2021,112 children with neonatal pneumonia were selected,they were divided into the two groups according to different examination methods with 56 cases in each group.The control group performed X-ray examination.The study group performed bedside ultrasound examination.The diagnosis results of the two groups were compared.Results:The detection rate of the study group was higher than the control group,the difference was statistically significant(P<0.05).According to the ultrasound characteristics of the lung ultrasound examination,56 cases(100%)of different degrees of B-line sound image,38 cases(67.86%)of lung consolidation,20 cases(35.71%)of bronchial inflation sign,22 cases of alveolar interstitial syndrome(39.29%),2 cases(3.57%)of pleural effusion,2 cases(3.57%)of lung sliding sign disappeared.Conclusion:Bedside ultrasound can improve the detection rate of neonatal pneumonia,and can be assisted in diagnosis through typical ultrasound sonographic features,providing a reliable basis for early clinical diagnosis,and has significant clinical value.