床旁胸部X线、肺部超声在诊断新生儿气胸中的临床价值对比

Abstract
Figure/Table
References (16)
Related Citation (3)

Download: PDF (0 KB) HTML (29 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To compare the diagnostic value of bedside chest X-ray and lung ultrasound in newborn pneumothorax.Methods A total of 60 newborns with suspected pneumothorax admitted to Ultrasound Medicine Department of Shenzhen Bao′an District Maternal and Child Health Hospital Affiliated to Ji′nan University Medical College from March 2018 to March 2020 were selected as the research objects.Chest X-ray and lung ultrasound examination were performed beside the bed,and chest CT was adopted as the gold standard for the diagnosis of pneumothorax.The diagnostic effectiveness and timeliness of the two methods for newborn pneumothorax were compared.Results For the diagnosis of newborn pneumothorax,the sensitivity,specificity and accuracy of bedside chest X-ray diagnosis were 88.46%(46/52),87.50% (7/8) and 88.33% (53/60) respectively,and the sensitivity,specificity and accuracy of bedside lung ultrasound diagnosis were 96.15% (50/52),100% (8/8) and 96.67% (58/60) respectively,there were no statistically significant differences between the two methods in sensitivity,specificity and accuracy (P>0.05).The time of bedside lung ultrasound examination was shorter than that of bedside chest X-ray examination,and the difference was statistically significant (P<0.05).Conclusion The diagnosis of neonatal pneumothorax by bedside chest X-ray and lung ultrasound have higher diagnostic value,but the examination time of bedside lung ultrasound is shorter.

Key words： Chest X-ray Lung ultrasound Neonatal pneumothorax Diagnostic performance

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	XU Bo
	YANG Zi
	ZHOU Hai-yan
	LIN Xiao-ying
	ZHU Cai-yi

Cite this article:

XU Bo,YANG Zi,ZHOU Hai-yan, et al. Comparison of clinical value of bedside chest X-ray and lung ultrasound in the diagnosis of newborn pneumothorax[J]. 中国当代医药, 2021, 28(4): 150-152.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I4/150

[1]	Esme H，Dogru O，Eren S，et al.The factors affecting persistent pneumothorax and mortality in neonatal pneumothorax[J].Turk J Pediatr，2018，50（3）：242-246.
[2]	陈夜，彭好.43例新生儿气胸相关危险因素分析[J].中国生育健康杂志，2018，29（3）：248-250.
[3]	Cattarossi L，Copetti R，Brusa G，et al.Lung ultrasound diagnostic accuracy in neonatal pneumothorax[J].Can Respir J，2016，10（5）：6515069.
[4]	卢林民，宋学栋.新生儿气胸48例的X线与CT表现[J].实用医技杂志，2016，23（12）：1305-1307.
[5]	Bourcier JE，Paquet J，Seinger M，et al.Performance comparison of lung ultrasound and chest X-ray for the diagnosis of pneumonia in the ED[J].Am J Emerg Med，2019，32（2）：115-118.
[6]	Brat R，Yousef N，K1ifa R，et al.Lung ultrasonography score to evaluate oxygenation and surfactant need in neonates trated with continuous positive airway pressure[J].JAMA Pediatr，2018，169（8）：e151797.
[8]	王春艳.新生儿气胸危险因素分析及治疗研究[J].临床军医杂志，2018，46（12）：1426-1428.
[9]	牛慧敏，徐丽瑾，高洁，等.肺部超声和临床评估在新生儿突发性气胸诊断中的价值[J].临床肺科杂志，2018，23（6）：1077-1081.
[10]	张慧慧.高频振荡通气对气胸新生儿血气指标及肺功能的影响[J].中国妇幼保健，2017，32（22）：5662-5664.
[11]	孟令红.新生儿气胸的X线与CT检查分析[J].世界复合医学，2017，3（2）：57-59.
[12]	魏天虹，罗百灵，何志友.肺部超声在AECOPD 气胸患者临床诊断中的价值[J].中国医疗设备，2018，33（5）：67-70.
[7]	中华医学会儿科学分会围产医学专业委员会，中国医师协会新生儿科医师分会超声专业委员会，中国医药教育协会超声医学专业委员会重症超声学组，等.新生儿肺部疾病超声诊断指南[J].中华实用儿科临床杂志，2018，33（14）：1057-1064.
[13]	张磊，陈国忠，王华英，等.肺部超声评分在ARDS 患者中临床应用价值[J].中国现代医生，2019，57（3）：84-88，封3.
[14]	Abdalla W，Elgendy M，Abdelaziz AA，et al.Lung ultrasound versus chest radiography for the diagnosis of pneumothorax in critically ill patients：a prospective，singleblind study[J].Saudi J Anaesth，2016，10（3）：265-269.
[15]	任雪云，赵静，牛海峰，等.床旁肺脏超声诊断危重新生儿气胸的临床价值[J].中华新生儿科杂志，2019，34（6）：439-442.
[16]	张德健，陈晨，李晓，等.床旁肺部超声在新生儿气胸诊断中的价值[J].医学影像学杂志，2019，29（7）：1115-1118.