The Role of Lung Ultrasonography in the Diagnosis of Neonatal Pneumonia in Plateau Area

Gao Hong; Guo Jun Mei; Fan Wei; Li Xue Jiao; Yi Xin; Li Yang Fang; Zuo Qiong; Pan Chen

Article Contents

Article Navigation > Journal of Kunming Medical University > 2018 > 39(04): 109-112

Gao Hong , Guo Jun Mei , Fan Wei , Li Xue Jiao , Yi Xin , Li Yang Fang , Zuo Qiong , Pan Chen . The Role of Lung Ultrasonography in the Diagnosis of Neonatal Pneumonia in Plateau Area[J]. Journal of Kunming Medical University, 2018, 39(04): 109-112.

Citation:

Gao Hong , Guo Jun Mei , Fan Wei , Li Xue Jiao , Yi Xin , Li Yang Fang , Zuo Qiong , Pan Chen . The Role of Lung Ultrasonography in the Diagnosis of Neonatal Pneumonia in Plateau Area[J]. Journal of Kunming Medical University, 2018, 39(04): 109-112.

Citation:

PDF( 1207 KB)

The Role of Lung Ultrasonography in the Diagnosis of Neonatal Pneumonia in Plateau Area

Funds:

基金：昆明市科技计划基金资助项目 (2015-1-S-00510);

Received Date: 2017-11-16

Abstract

Abstract

Objective To evaluate the role of lung ultrasonography (LUS) in the diagnosis of neonatal pneumonia in plateau area. Me thods A total number of 200 cases of clinically diagnosed neonatal pneumonia were examined by bedside lung ultrasound from June 2015 to December 2017 and 200 cases of icterus neonatorum were selected as the control group. The chest wall was divided into 6 regions by side-sternal line, anterior axillary line and posterior axillary line. Each region was scanned by ultrasound horizontally and longitudinally. Pleural line, A-line, B-line, pulmonary consolidation and pleural effusion were checked. Re s ults The positive rate of bedside lung ultrasound examination in 200 cases of neonatal pneumonia was 100%. The main ultrasonographic manifestations of neonatal pneumonia were as follows: pulmonary consolidation (69/200 cases, 34.5%) , multiple B-lines in a multi regions (200/200 cases, 100%) , pleural line abnormalities (22/200 cases, 11%) , and localized pleural effusion (13/200 cases, 6.5%) . Only A-line (169/200 cases, 84.5%) and B-line (31/200 cases, 15.5%) were observed in the control group. There were statistical differences between the two groups (χ2= 13.65, P<0.05) . Conclus ion The main ultrasonographic manifestations of neonatal pneumonia in plateau area included B-lines, pulmonary consolidation, pleural line abnormalities and localized pleural effusion. As the highest occurrence rate of B-line and pulmonary consolidation, they can be used as a reliable sign for diagnosis of neonatal pneumonia.
- Lung ultrasonography,
- Infant,
- Newborn,
- Pneumonia

FullText(HTML)

References(23)

References

[1]刘向辉.高原婴幼儿重症肺炎的临床特点及治疗体会——附68例报告[J].新医学, 2006, 37 (12) :803-804.
[2]赵生奎.鼻塞式持续呼吸道正压通气治疗高原小儿重症肺炎47例临床分析[J].中国当代儿科杂志, 2010, 12 (3) :226-227.
[3]	[3]ENARSON P M, GIE R P, MWANSAMBOCC, et al.Reducing deaths from severe pneumonia in Malawi by improving delivery of pneumonia case management[J].Plo S One, 2014, 9 (7) :e102955.
[4]于红, 产前和产后感染的新生儿肺炎X线表现[J].天津医科大学学报, 2010, 16 (2) ;275-276.
[5]	[5]VOLPICELLI G, ELBARBARY M, BLAIVASM, el al.International evidence-based recommendations for point-of-care lung ultrasound[J].Intensive Care Med, 2012, 38 (4) :577-591.
[6]	[6]CHAVEZ M A, SHAMS N, ELLINGTON L E, et al.Lung ultrasound for the diagnosis of pneumonia in adults:A systematic review and meta-analysis[J].Respir Res, 2014, 15 (1) :50.
[7]	[7]DI MARCO F, ROGGI M A, TERRANEO S, et al.Lung ultrasound as first line imaging tool in pregnant women with respiratory symptoms[J].Eur Respir J, 2015, 46 (Suppl) :494.
[8]	[8]CHATZIANTONIOU A, PAPA GF, CENTANNI S, et al.Accuracy of lung ultrasound in pleuritic chest pain:Preliminary data of a multicentric study[J].Eur Respir J, 2015, 46 (Suppl) :50.
[9]	[9]JEAN-EUDES B, 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, 2014, 32 (2) :115-118.
[10]	[10]HO MC, KER C R, HSU J H, et al.Usefulness of lung ultrasound in the diagnosis of community-acquired pneumonia in children[J].Pediatr Neonatol, 2015, 56 (1) :40-45.
[11]	[11]PEREDA M A, CHAVEZ M A, HOOPER-MIELE C C, et al.Lung ultrasound for the diagnosis of pneumonia in children:A Meta-analysis[J].Pediatrics, 2015, 135 (4) :714-722.
[12]	[12]CHEN S W, ZHANG M Y, LIU J.Application of lung ultrasonography in the diagnosis of childhood lung diseases[J].Chin Med J (Engl) , 2015, 128 (19) :2672-2678.
[13]	[13]RODRIGNEZ-FANJUL J, MORENO-HERNANDO J, IRIONDO-SANZ M.Can lung ultrasound change respiratory distress management in newborns[J].Arch Dis Child, 2014, 99 (Suppl 1) :247-248.
[14]	[14]BRAT R, YOUSSEF N, KLIFA R, et al.Lung ultrasound score to evaluate oxygenation and surfactant need in critically ill neonates[J].Arch Dis Child, 2014, 99 (Suppl 1) :A213-A214.
[15]	[15]LIU J.Lung uhrasonography for the diagnosis of neonatal lung disease[J].J Matem Fetal Neonatal Med, 2014, 27 (8) :856-861.
[16]肖梅, 叶鸿瑁, 丘小汕.实用新生儿学[M].第4版.北京:人民卫生出版社, 2011:401-405.
[17] 沈晓明.儿科学[M].第7版.北京:人民卫生出版社, 2012:125-126.
[18]刘敬.新生儿监护病房内开展肺脏超声的可行性与必要性[J].中华围产医学杂志, 2013, 10 (16) :582-583.
[19]	[19]CAIULO VA, GARGANI L, CAIULO S, et al.Lung ultrasound characteristics of communityacquired pneumonia in hospitalized children[J].Pediatr Pulmonol, 2013, 48 (3) :280-287.
[20]	[20]BABAK HAKIMISEFAT, PAUL H.Mayo.Lung Ultrasonography[J].The Open Critical Care Medicine Journal, 2010, 21 (3) :21-25.
[21]高虹, 郭峻梅, 余波, 等.新生儿重症肺炎患儿床旁超声的应用价值[J].昆明医科大学学报, 2016, 37 (10) :118-121.
[22]刘敬, 曹海英, 李静雅, 等.新生儿肺部疾病的超声诊断[J].中华围产医学杂志, 2013, 16 (1) :51-56.
[23]	[23]CORTELLARO F, COLOMBO S, COEN D, et a1.Lung ultrasound is an accurate tool for the diagnosis of pneumonia in the emergency department[J].Emerg Med J, 2012, 29 (1) :19-23.

Relative Articles(20)

Relative Articles

[1]	Ting HU, Luyao WANG, Jing LIANG, Jing ZHANG, Jiao LENG, Xiufang LI. A Survey on the Current Situation of Demand for Extended Nursing Services for Newborns after Discharge. Journal of Kunming Medical University, 2024, 45(12): 1-7.
[2]	Tuan LI, Yu’e ZHOU, Yue LI. Application of White Noise in Neonatal Peripheral Venipuncture Pain. Journal of Kunming Medical University, 2023, 44(3): 167-171. doi: 10.12259/j.issn.2095-610X.S20230310
[3]	Tuan LI, Yu’e ZHOU, Li MA, Gui LIAO. Clinical Significance of C Reactive Protein and Procalcitonin Detection in Neonatal ABO Hemolytic Jaundice. Journal of Kunming Medical University, 2023, 44(1): 80-84. doi: 10.12259/j.issn.2095-610X.S20230122
[4]	Libo ZHU, Yanhua XU, Jinfen LI, Xue HU, Chunyan LU, Kun LU, Liuyan DUAN, Huanyi LI. Clinical Application of Ultrasound-guided Peripherally Inserted Central Venous Catheter in Neonates with Vascular Access Difficulties. Journal of Kunming Medical University, 2023, 44(4): 117-122. doi: 10.12259/j.issn.2095-610X.S20230415
[5]	Caiying ZHANG, Zhengping KUI, Qiong WANG, Xiaolong ZHAO, Xiaomei HOU, Zhiye QI. Perinatal Risk Factors of Neonatal Hyperthyrotropinemia. Journal of Kunming Medical University, 2022, 43(9): 48-52. doi: 10.12259/j.issn.2095-610X.S20220929
[6]	Jie WU, Jun LIU, Yan ZHANG, Xudong DONG, Xingzi FENG, Qinnan LU, Lingyan LIU. Analysis on the Trend of Birth Weight of 36551 Newborns in Last Ten Years. Journal of Kunming Medical University, 2022, 43(4): 75-81. doi: 10.12259/j.issn.2095-610X.S20220414
[7]	Lijuan YIN, Lingyun BAO, Jing YAO. Effect of Mechanical Vibration Assisted Expectoration in Neonatal Infectious Pneumonia. Journal of Kunming Medical University, 2022, 43(3): 166-170. doi: 10.12259/j.issn.2095-610X.S20220315
[8]	Jing WANG, Lian-fang TANG, Mei-qun GU, Xiao-yan XU, Jian-hua YU, Shan HE, Zi-wei LI, Kai BI, Li-qiao LIU, Qiong ZHAO, Hong-ying MI. Risk Factors and Early Clinical Characteristics of Neonatal Necrotizing Enterocolitis. Journal of Kunming Medical University, 2021, 42(11): 99-104. doi: 10.12259/j.issn.2095-610X.S20211118
[9]	Xiao Yan , Mi Hong Ying , Hu Jian Ying , Liu Yu . . Journal of Kunming Medical University, 2020, 41(01): 73-79.
[10]	Yang Hui Bo , Yu Run Liu , Miao Qin , Liu De Liang . . Journal of Kunming Medical University, 2020, 41(07): 144-148.
[11]	Yin Li Juan , Bao Ling Yun , Li Ling , Yuan Yuan . . Journal of Kunming Medical University, 2020, 41(06): 178-180.
[12]	Jiang Yu Hui , Liu Ling , He Can Lin , Li Yang . . Journal of Kunming Medical University, 2019, 40(04): 20-22.
[13]	He Ling , Xiao Jing , Yang Bi Yan , Wang Song . . Journal of Kunming Medical University, 2019, 40(07): 84-87.
[14]	Zhang Yi . . Journal of Kunming Medical University,
[15]	Sun Jian Ming . . Journal of Kunming Medical University,
[16]	Liu Yi . . Journal of Kunming Medical University,
[17]	. . Journal of Kunming Medical University,
[18]	Wen Yong . . Journal of Kunming Medical University,
[19]	. . Journal of Kunming Medical University,
[20]	. . Journal of Kunming Medical University,