Abstract：Objective To study the application effect of pulmonary ultrasound in the diagnosis and dynamic monitoring of treatment effect for children with pneumonia.Methods Forty children with pneumonia who were treated in our hospital from April 2017 to December 2018 were enrolled in the study.X-ray examination, pulmonary ultrasound and X-ray examination were performed.The diagnostic accuracy of the two examination methods was compared, the chest X-ray performance of the children was observed, and the ultrasound of the lungs was recorded.Results The diagnostic accuracy rate of the combined examination was 95.00%, which was higher than the 75.00% of the X-ray examination, and the difference was statistically significant (P<0.05).On the day of admission, pulmonary ultrasonography was performed.The main manifestations were as follows, 40 cases of pleural line abnormalities occurred, and the A line disappeared in the lesions.Most of the children had different degrees of lung consolidation, and some severe cases had alveolar-interstitial syndrome performance.There were 25 cases (62.50%) of lung parenchyma, 6-20 mm, 20 cases of single-shot consolidation, and 5 cases of multiple consolidation.Among them, 5 cases (12.50%) of children with severe pneumonia had a large range of lungs, 37-75 mm, manifested as subpleural homogenous hypoechoic, dynamic examination of bronchial aeration.After 5-7 days of treatment, multiple indexes of ultrasound images were improved to different degrees, including 7 cases (17.50%) with normal sonogram and 17 cases (42.50%) with pleural line abnormalities.There were still different degrees of lung consolidation with 16 cases of the local A line disappeared (40.00%).Ultrasound was reviewed when the children were cured and discharged, most of the children′s pleural line and A line returned to normal, and no obvious lung solidity appeared.Conclusion For children with pneumonia, pulmonary ultrasound can be used for diagnosis.The combination of pulmonary ultrasound and X-ray can improve the diagnostic accuracy rate of pneumonia.Ultrasound is used for dynamic monitoring during treatment.By observing the pleural line and lung consolidation, the therapeutic effect of children can be identified, which is worthy of application.
张景良；陆健伟；陈海山. 肺部超声在小儿肺炎诊断及治疗效果动态监测中的应用效果[J]. 中国当代医药, 2019, 26(15): 123-125.
ZHANG Jing-liang ；LU Jian-wei ；CHEN Hai-shan. Application effect of pulmonary ultrasound in the diagnosis and dynamic monitoring of treatment effect for children with pneumonia. 中国当代医药, 2019, 26(15): 123-125.
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