[1]赵怡,方红星,刘军苹,等.肺部超声技术对新生儿肺部疾病的鉴别诊断价值[J].新乡医学院学报,2023,40(3):253-256.[doi:10.7683/xxyxyxb.2023.03.011]
　ZHAO Yi,FANG Hongxing,LIU Junping,et al.Value of pulmonary ultrasound in the differential diagnosis of neonatal pulmonary disease[J].Journal of Xinxiang Medical University,2023,40(3):253-256.[doi:10.7683/xxyxyxb.2023.03.011]
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肺部超声技术对新生儿肺部疾病的鉴别诊断价值
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
40卷
期数:
2023年3期
页码:
253-256
栏目:
临床研究
出版日期:
2023-03-05

文章信息/Info

Title:
Value of pulmonary ultrasound in the differential diagnosis of neonatal pulmonary disease
作者:
赵怡1; 方红星2; 刘军苹1; 段圣洁1
（1.开封市妇幼保健院新生儿科，河南　开封　475000；2.开封市儿童医院内科，河南　开封　475000）
Author(s):
ZHAO Yi1; FANG Hongxing2; LIU Junping1; DUAN Shengjie1
(1.Department of Neonatology,Kaifeng Maternal and Child Health Hospital,Kaifeng 475000,Henan Province,China;2.Department of Internal Medicine,Kaifeng Children′s Hospital,Kaifeng 475000,Henan Province,China)
关键词:
新生儿; 肺部疾病; 超声检查; 鉴别诊断
Keywords:
newborn; pulmonary disease; ultrasonography; differential diagnosis
分类号:
R725.6
DOI:
10.7683/xxyxyxb.2023.03.011
文献标志码:
A
摘要:
目的探讨肺部超声技术对新生儿肺部疾病的鉴别诊断价值。
方法选择2019年1月至2021年6月开封市妇幼保健院收治的120例疑似肺部疾病新生儿为研究对象，入院24 h内行肺部超声检查，以最终临床诊断为标准，计算肺部超声技术对新生儿肺部疾病诊断的准确度、灵敏度和特异度，评估肺部超声技术对新生儿肺部疾病的鉴别诊断价值。
结果120例疑似肺部疾病新生儿最终临床确诊为肺部疾病者106例，其中肺炎56例（52.83%），呼吸窘迫综合征（RDS）28例（26.42%），新生儿胎粪吸入综合征（MAS）14例（13.21%），新生儿湿肺（TTN）8例（7.55%）。 120例疑似肺部疾病新生儿经肺部超声诊断阳性102例，肺部超声检查对新生儿肺部疾病的阳性检出率为85.00%（102/120），灵敏度为92.45%（98/106），特异度为71.43%（10/14），阳性预测值为96.08%（98/102），阴性预测值为55.56%（10/18）；新生儿肺部疾病肺部超声检查结果与最终临床诊断结果的一致性检验的Kappa值为0.789，二者具有高度的一致性。肺部超声诊断为肺炎54例，诊断准确度为96.43%（54/56）；肺部超声诊断为RDS 27例，诊断准确度为96.43%（27/28）；肺部超声诊断为MAS 14例，诊断准确度为100.00%（14/14）；肺部超声诊断为TTN 7例，诊断准确度为87.50%（7/8）。
结论肺部超声对新生儿肺部疾病具有较高的鉴别诊断价值。
Abstract:
ObjectiveTo investigate the value of pulmonary ultrasound in the differential diagnosis of neonatal pulmonary diseases.MethodsA total of 120 newborns with suspected pulmonary diseases admitted to Kaifeng Maternal and Child Health Hospital from January 2019 to June 2021 were selected as the study subjects.All newborns were examined by pulmonary ultrasound within 24 hours after admission.The accuracy,sensitivity and specificity of pulmonary ultrasound in the diagnosis of neonatal pulmonary diseases were calculated based on the final clinical diagnosis,and the value of pulmonary ultrasound in the differential diagnosis of neonatal pulmonary diseases was evaluated.ResultsAmong the 120 newborns with suspected pulmonary diseases,106 newborns were finally diagnosed as pulmonary diseases,including 56 cases(52.83%) of pneumonia,28 cases(26.42%) of respiratory distress syndrome (RDS),14 cases(13.21%) of neonatal meconium aspiration syndrome (MAS),and 8 cases(7.55%) of tachypnea of newborn (TTN).Among the 120 newborns with suspected lung diseases,102 newborns were diagnosed as positive by lung ultrasound.The positive detection rate of pulmonary ultrasound for neonatal pulmonary diseases was 85.00% (102/120),the sensitivity was 92.45% (98/106),the specificity was 71.43% (10/14),the positive predictive value was 96.08% (98/102),and the negative predictive value was 55.56% (10/18).The Kappa value of the consistency check between the pulmonary ultrasound examination results and the final clinical diagnosis results of neonatal pulmonary diseases was 0.789,which was highly consistent.Fifty-four cases were diagnosed as pneumonia by pulmonary ultrasound,the diagnostic accuracy was 96.43% (54/56).Twenty-seven cases were diagnosed as RDS by pulmonary ultrasound,and the diagnostic accuracy was 96.43% (27/28).Fourteen cases were diagnosed as MAS by pulmonary ultrasound,and the diagnostic accuracy was 100.00% (14/14).Seven cases were diagnosed as TTN by pulmonary ultrasound,and the diagnostic accuracy was 87.50% (7/8).ConclusionPulmonary ultrasound has high value in the differential diagnosis of neonatal pulmonary diseases.

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更新日期/Last Update: 2023-03-05