床旁肺脏超声评估新生儿肺透明膜病严重程度  

Value of bed side lung ultrasound in evaluating neonatal hyaline membrane disease

作　　者：王小华[1] 黎见 蒋国美[1] 何立红[1] 梁平[1] 

机构地区：[1]广东省中山市博爱医院超声科,广东中山528400

出　　处：《医学影像学杂志》2017年第3期458-460,468,共4页Journal of Medical Imaging

基　　金：广东省中山市医学科研基金(项目编号:2015B1168)

摘　　要：目的探讨床旁肺脏超声在评估新生儿肺透明膜病(hyaline membrane disease,HMD)严重程度的价值。方法对49例HMD患儿行床旁肺脏超声检查,并行肺超声评分,比较不同程度HMD患儿肺超声总评分差异,检验HMD患儿肺超声总评分与其氧合指数(PaO_2/FiO_2)关系。结果轻度与重度HMD患儿间肺超声总评分差异有统计学意义(P<0.01),肺超声总评分与PaO_2/FiO_2呈负相关(r=-0.881,P<0.01)。结论肺脏超声可反映新生儿HMD治疗前病情严重程度,有望成为评价HMD病情的新方法。Objective To assess the value of the bed side lung ultrasound in evaluating neonatal hyaline membrane disease （HMD）. Methods 49 cases of neonatal HMD were examined with bed side lung ultrasound, the difference of the lung ultra- sound score in different degrees of HMD was compared and the relationship between the lung ultrasound score and oxygenation in- dex （PaO2/FiO2） was tested. Results The difference of lung ultrasound score between mild and severe HMD was statistically significant, and the lung ultrasound score was negatively correlation with PaO2/FiO2. Conclusion The lung ultrasound can re- flect the severity of neonatal HMD, which is expected to become a new method to evaluate the disease condition of HMD.

关 键 词：新生儿 肺透明膜病 肺脏 超声检查 

分 类 号：R561[医药卫生—呼吸系统] R445.1[医药卫生—内科学]