肺超声在获得性肺炎患儿诊断中的临床应用

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。

Clinical Application of Lung Ultrasonography in Diagnosis of Children Community Acquired Pneumonia

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.