Chest ultrasound in neonates:What neonatologists should know  

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作  者:Adel Salah Bediwy Mohammed Al-Biltagi Jameel Ahmed Nazeer Nermin Kamal Saeed 

机构地区:[1]Department of Chest Disease,Faculty of Medicine,Tanta University,Tanta 31511,Algharbia,Egypt [2]Department of Pulmonology,University Medical Center,Arabian Gulf University,Manama 26671,Manama,Bahrain [3]Department of Pediatrics,Faculty of Medicine,Tanta University,Tanta 31511,Algharbia,Egypt [4]Department of Pediatrics,University Medical Center,Arabian Gulf University,Manama 26671,Manama,Bahrain [5]Department of Radiology,University Medical center,King Abdulla Medical City,Arabian Gulf University,Manama 26671,Manama,Bahrain [6]Medical Microbiology Section,Pathology Department,Salmaniya Medical Complex,Ministry of Health,Kingdom of Bahrain,Manama 12,Manama,Bahrain [7]Microbiology Section,Pathology Department,Irish Royal College of Surgeon,Bahrain,Busaiteen 15503,Muharraq,Bahrain

出  处:《Artificial Intelligence in Medical Imaging》2022年第1期8-20,共13页医学影像中的人工智能(英文)

摘  要:For many years,ultrasound was thought to have no indications in pulmonary imaging because lungs are filled with air,creating no acoustic mismatch,as encountered by ultrasound wave beam.Lung ultrasound(LUS)was started in adult critical care settings to detect pleural effusion and acquired more indications over time.In the neonatal intensive care unit(NICU),the use of chest ultrasound has gained more attention during the last two decades.Being a radiation-free,bedside,rapid,and handy tool,LUS started to replace chest X-rays in NICU.Using LUS depends upon understanding the nature of normal lungs and the changes induced by different diseases.With the help of LUS,an experienced neonatologist can detect many of the respiratory problems so fast that interventional therapy can be introduced as early as possible.LUS can diagnose pleural effusion,pneumothorax,pneumonia,transient tachypnoea of the newborn,respiratory distress syndrome,pulmonary atelectasis,meconium aspiration syndrome,bronchopulmonary dysplasia,and some other disorders with very high accuracy.LUS will be helpful in initial diagnosis,follow-up,and predicting the need for further procedures such as mechanical ventilation,diuretic therapy,surfactant therapy,etc.There are some limitations to using LUS in some respiratory disorders such as bullae,interstitial emphysema,and other conditions.This review will highlight the importance of LUS,its uses,and limitations.

关 键 词:Lung ultrasound Neonatal respiratory Disorders Neonatal chest ultrasound MECONIUM Pneumonia PNEUMOTHORAX 

分 类 号:R56[医药卫生—呼吸系统]

 

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