摘要
目的分析儿童肺炎的肺脏超声表现,探讨肺脏超声在儿童肺炎诊断和病情监测中的应用价值。方法分析50例普通肺炎、50例重症肺炎患儿的肺脏超声影像,并与50例无肺脏疾病患儿作对照。结果 50例无肺疾病的肺脏超声影像可见胸膜线和A-线。50例普通肺炎的超声征象主要为:A-线消失50例(100.0%),肺实变50例(100.0%),胸膜线异常37例(74.0%),肺间质综合征41例(82.0%),胸腔积液2例(4.0%);50例重症肺炎的超声征象主要为:A-线消失50例(100.0%),肺实变50例(100.0%),胸膜线异常48例(96.0%),肺间质综合征48例(96.0%),胸腔积液12例(24.0%),肺搏动4例(8.0%)。这些异常超声表现在无肺脏疾病组中均未见。随着肺炎病情恢复,上述异常的征象逐渐减轻至消失。100例肺炎中,17例肺炎在胸部X线上未见肺水肿等异常征象,但在超声下均发现肺实变和/(或)肺间质综合征等异常的超声征象,超声结果和X线结果的差异有统计学意义(P<0.01)。结论肺脏超声可以诊断肺炎以及监测病情的变化,比X线更能发现肺部的病灶改变。
Objective To study the features of lung ultrasonography（LUS） in children pneumonia and explore the value of LUS in the diagnosis and disease monitoring of children pneumonia. Methods 150 children hospitalized in Pediatric Department were included in this study, including 50 cases without lung diseases, 50 cases with mild pneumonia and 50 cases with severe pneumonia. Their LUS imaging was compared. Results The LUS imaging of 50 cases without lung diseases showed pleural lines and A-lines. The LUS imaging of 50 cases with mild pneumonia showed： A-line disappearance（50 cases,100%）, lung consolidation（50 cases, 100%）, abnormal pleural lines（37 cases, 74.0%）, interstitial syndrome（41 cases, 82.0%）and pleural effusion（2 cases, 4.0%）; The LUS imaging of 50 cases with severe pneumonia showed： A-line disappearance（50 cases, 100%）, lung consolidation（50 cases, 100%）, abnormal pleural lines（48 cases, 96.0%）, interstitial syndrome（48 cases,96.0%）, pleural effusion（12 cases, 24.0%） and lung pulse（4 cases, 8.0%）. Such abnormal ultrasound manifestations were now shown in the control group without lung diseases. With the recovery of pneumonia, above abnormalities gradually reduced and disappeared. Among 100 cases with pneumonia, 17 cases showed no such abnormal signs as lung edema in chest X-ray, but were identified to have lung consolidation and/or interstitial syndrome in LUS, and there was statistical difference between the ultrasonic results and X-ray results（P〈0.01）. Conclusion LUS can diagnose pneumonia and monitor the change in disease conditions, and can detect more changes in the pulmonary lesions than the X-ray. Therefore LUS has important clinical value for children pneumonia.
作者
陈水文
张雪君
任其秀
王春凤
刘文娟
刘纯义
CHEN Shui-wen;ZHANG Xue-jun;REN Qi-xiu;WANG Chun-feng;LIU Wen-juan;L(Department of Pediatrics,Bao＇an Maternity and Child health Hospital,Shenzhen 518133,China;Department of Ultrasonography,Lecong Hospital of Shunde district,Foshan 528315,China)
出处
《广东医科大学学报》
2018年第2期200-203,共4页
Journal of Guangdong Medical University
基金
深圳市科技计划项目(No.深科技创新[2017]131号)
深圳市宝安区科技局项目(No.2016CX253)
关键词
儿童
肺脏超声
肺疾病
肺炎
children
lung ultrasonography
lung diseases
pneumonia
