论文部分内容阅读
目的:探索肺超声(LUS)在获得性肺炎(CAP)患儿诊断中的临床应用价值。方法:选取自2013年4月至2014年11月我院确诊为CAP的患儿95例,以腋前线、腋后线为界,将患儿肺脏分为前、后、侧三个区域,对所有患儿进行LUS检查,观察胸膜线、B线、肺实变程度及胸腔积液,并对支气管充气征进行检查。结果:95例CAP患儿经LUS检查后,诊断为阳性的有93例,阴性有2例,准确率为97.89%;CAP患儿的LUS的主要表现为肺泡-间质综合征、支气管充气症、胸膜线异常、胸腔积液;80例为综合表现(84.21%),15例为单一表现(15.79%)。结论:LUS诊断CAP患儿具有较高的准确率,结果安全可靠,可以应用于为临床诊断CAP。
Objective: To explore the clinical value of lung ultrasound (LUS) in the diagnosis of children with acquired pneumonia (CAP). Methods: From April 2013 to November 2014 in our hospital, 95 cases diagnosed as CAP in children with axillary line, axillary line as the boundary, the lungs were divided into three areas before, after, and side, All patients underwent LUS examination, observe the pleural line, B line, degree of pulmonary consolidation and pleural effusion, and check the bronchial inflatable sign. Results: Ninety-five cases with CAP were diagnosed as positive by LUS, two cases were negative and the accuracy rate was 97.89%. The main manifestations of LUS in CAP children were alveolar-interstitial syndrome, bronchial insufficiency , Pleural line abnormalities and pleural effusion; 80 cases showed comprehensive performance (84.21%) and 15 cases showed single performance (15.79%). Conclusion: LUS diagnosis of CAP children with high accuracy, the results are safe and reliable, and can be applied to the clinical diagnosis of CAP.