新生儿常见肺疾病诊断:超声替代X线的必要性与可行性  

Neonatal common lung diseases: lung ultrasound or chest X-ray?

作　　者：刘敬[1] Liu Jing(Department of Neonatology and NICU, Beijing Chaoyang District Maternal and Child Health Care Hospital, Beijing 100021, China)

机构地区：[1]北京市朝阳区妇幼保健院新生儿科/NICU,100021

出　　处：《中国小儿急救医学》2019年第8期565-570,共6页Chinese Pediatric Emergency Medicine

基　　金：北京市朝阳区科信局社会发展基金资助项目(CYSF1922).

摘　　要：胸部X线检查是诊断新生儿肺部疾病的传统方法,而肺脏超声(lung ultrasound,LUS)则是肺部疾病诊断领域的一项新技术.研究已经证实在肺部疾病的诊断方面,超声较X线更加准确可靠.但是,临床医师对LUS能否替代X线作为新生儿肺部疾病的首选检查方法仍存在疑虑.本文结合有关研究进展、笔者近10年的临床应用经验和典型案例对此予以阐述.认为LUS具有突出优势,可为临床提供更加准确和可靠的信息,可以替代X线在新生儿病房内常规开展.Chest X-ray examination is the traditional methods in the diagnosis of neonatal lung diseases, lung ultrasound (LUS) is the emerging technology in this field.It has confirmed that LUS is more accurate and reliable in diagnosis of lung diseases than X-ray, however, it remains controversy whether or not LUS could replace X-ray as the front-line examination method for neonatal lung diseases.In this paper, we combined the research progress, our clinical application experience and typical cases to elaborate various aspects of the feasibility and necessity of routine use of ultrasound in neonatal wards.We concluded that LUS has many advantages and provides accurate and reliable information, therefore, it might be regularly used in NICUs.

关 键 词：肺脏疾病 诊断 鉴别诊断 肺脏超声 胸部X线 新生儿 

分 类 号：R722.1[医药卫生—儿科] R445.1[医药卫生—临床医学] R816.92