新生儿暂时性呼吸困难的肺部超声表现  

Ultrasound findings of lung in transient tachypnea of the neonate

作　　者：张展 张婷婷[1] 胡金绘[1] 潘兆军[1] 武荣[1] ZHANG Zhan;ZHANG Tingting;HU Jinhui;PAN Zhaojun;WU Rong(Neonatal Medical Center,Huaian Maternity and Child Healthcare Hospital Affiliated to Yangzhou University Medical College,Jiangsu Province,Huaian 223002,China)

机构地区：[1]扬州大学医学院附属淮安市妇幼保健院新生儿医学中心,江苏淮安223002

出　　处：《中国当代医药》2022年第5期86-88,共3页China Modern Medicine

基　　金：江苏省卫生健康委科研课题(H2018009);江苏省妇幼健康科研项目(F201812)。

摘　　要：目的观察新生儿暂时性呼吸困难的肺部超声特点。方法选取2018年7月至2019年6月扬州大学医学院附属淮安市妇幼保健院收治的60例暂时性呼吸困难患儿作为观察组,选取同期60例胎龄相近的健康新生儿作为对照组。观察组患儿分别在出生后6 h内和72 h后进行肺部超声检查,对照组患儿仅在出生后6 h内进行肺部超声检查,分析其肺部超声特点。结果超声检查发现,所有患儿均无实变发生。出生后6 h内,观察组患儿胸膜线异常、A-线消失、存在B-线、肺泡间质综合征、双肺点和胸腔积液的发生率高于对照组,差异有统计学意义(P<0.05)。观察组出生后72 h后患儿胸膜线异常、A-线消失、存在B-线、肺泡间质综合征、双肺点和胸腔积液的发生率低于出生后6 h内超声检查结果,差异有统计学意义(P<0.05)。结论暂时性呼吸困难患儿具有胸膜线异常、A-线消失、存在B-线、肺泡间质综合征、双肺点、无实变发生和胸腔积液等特点,肺部超声对新生儿暂时性呼吸困难的早期诊断和病情监测具有重要价值。Objiective To investigate the value of lung ultrasound in early diagnosis and monitoring of transient tachypnea of the neonate.Methods Sixty children with transient tachypnea admitted to Huaian Maternity and Child Healthcare Hospital Affiliated to Yangzhou University Medical College from July 2018 to June 2019 were selected as the observation group,and sixty healthy newborns with similar gestational age were selected as the control group.In the observation group,lung ultrasound was performed within 6 h and 72 h after birth,respectively,while in the control group,lung ultrasound was performed only within 6 h after birth,the characteristics of lung ultrasound were analyzed.Results Ultrasound examination showed that no consolidation occurred in all the children.Within 6 h after birth,the incidence of abnormal pleural line,disappearance of A-line,existence of B-line,alveolar interstitial syndrome,double lung spot and pleural effusion in the observation group was higher than that in the control group,the differences were statistically significant(P<0.05).The incidence of abnormal pleural line,disappearance of A-line,existence of B-line,alveolar interstitial syndrome,double lung spot and pleural effusion in the observation group 72 h after birth was lower than that of ultrasound examination within 6 h after birth,the differences were statistically significant(P<0.05).Conclusion Children with temporary dyspnea were characterized by abnormal pleural line,disappearance of A-line,presence of B-line,alveolar interstitial syndrome,double lung spots,no consolidation and pleural effusion.Pulmonary ultrasound is of great value in early diagnosis and monitoring of temporary dyspnea in neonates.

关 键 词：超声检查 肺 新生儿暂时性呼吸困难 新生儿 

分 类 号：R722.1[医药卫生—儿科]