肺部超声和X线胸片在新生儿急性呼吸窘迫综合征中的诊断价值

目的:研究肺部超声评分(LUS)量化超声征象和X线胸片在新生儿急性呼吸窘迫综合征(ARDS)中的诊断价值?方法:对2012年1月—2016年1月南京医科大学第一附属医院新生儿重症监护病房有呼吸窘迫症状的新生儿候选入组者进行回顾性分析,最终纳入符合2012柏林诊断标准的ARDS新生患儿90例?分析床旁超声对ARDS的诊断价值?结果:足月ARDS组与早产ARDS组患者的LUS 评分分别为(15.6 ± 3.9)分和(20.5 ± 4.2)分,两组之间差异具有统计学意义(P < 0.05)?结论:床旁肺部超声与X线胸片相比较在新生儿ARDS的诊断中具有较高的准确性,值得在临床中进一步推广和应用?

The diagnostic accuracy of lung ultrasound examination and chest X-ray for evaluation of neonates with acute respiratory distress syndrome

Objective:To investigate the value of lung ultrasonic score(LUS)for quantitative ultrasound diagnosis in neonatal in the neonates with acute respiratory distress syndrome(ARDS). Methods:Retrospectively,these participants with the suspected ARDS were considered candidates for the prospective trial between January 2012 and January 2016 in the First Affiliated Hospital of Nanjing Medical University neonatal intensive care unit,and 90 cases were included according to the diagnostic criteria of ARDS in 2012 Berlin. Lung ultrasound examination and lung functions were monitored for evaluation of the neonates with ARDS. Results:The LUS of term ARDS group and premature ARDS group was(15.6~3.9)and(20.5~4.2),respectively,with statistically significant difference (P < 0.05). Conclusion:Bedside lung ultrasound has a better accuracy in diagnosis of neonatal ARDS,which deserves to be popularized in the clinical practice.