| 刘丹 彭莉晴 周静 张煜 陈晓梅.肺超声在获得性肺炎患儿诊断中的临床应用[J].,2016,16(9):1680-1683 |
| 肺超声在获得性肺炎患儿诊断中的临床应用 |
| Clinical Application of Lung Ultrasonography in Diagnosis of ChildrenCommunity Acquired Pneumonia |
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| DOI： |
| 中文关键词: 肺超声 获得性肺炎 儿童 临床应用 |
| 英文关键词: Lung ultrasonography Community acquired pneumonia Children Clinical application |
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| 中文摘要: |
| 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。 |
| 英文摘要: |
| Objective:To explore the clinical application value of lung ultrasonography (LUS) in the diagnosis of children community
acquired pneumonia (CAP).Methods:A total of 95 children, who were diagnosed as CAP in First Affiliated Hospital of Sichuan
Medical University from April 2013 to November 2014, were selected. According to anterior axilary line and posterior axillary line, the
lungs were divided into front, behind and side regions, then all the children were inspected by LUS, the pleural line, line B, the degree of
lung consolidation and pleural effusion and air-filled bronchi were observed.Results:After the LUS inspection, there were 93 positive
children, and 2 negative children, the accuracy rate was 97.89%. The main characteristics of LUS inspection of CAP were alveolar interstitial
syndrome, air-filled bronchi,pleural line abnormalities and pleural effusion. There were 80 (84.21%) children with symptom-complex,
and 15 (15.79%) children with symptom-single in LUS inspection.Conclusion:LUS has a high accuracy rate in the diagnosis of
children CAP, with safety and reliability, which can be used for clinical diagnosis. |
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