新生儿肺部超声应用现状及展望  

Current Status and Prospect of Neonatal Pulmonary Ultrasound Application

作　　者：贾欣颖 马姣姣[1,2,3] 郑宇觐 孙哲 张波 JIA Xinying;MA Jiaojiao;ZHENG Yujin;SUN Zhe;ZHANG Bo(Department of Ultrasound,China-Japan Friendship Hospital,Beijing 100029,China;Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China;National Center for Respiratory Medicine,State Key Laboratory of Respiratory Health and Multimorbidity,National Clinical Research Center for Respiratory Diseases,Institute of Respiratory Medicine,Chinese Academy of Medical Sciences,Center of Respiratory Medicine,China-Japan Friendship Hospital,Beijing 100029,China)

机构地区：[1]中日友好医院超声医学科,北京100029 [2]中国医学科学院北京协和医学院,北京100730 [3]国家呼吸医学中心,呼吸和共病全国重点实验室国家呼吸疾病临床研究中心中,国医学科学院呼吸病学研究院,中日友好医院呼吸中心,北京100029

出　　处：《中国医疗设备》2024年第11期165-169,共5页China Medical Devices

基　　金：中央高水平医院临床科研业务费资助项目(2022-NHLHCRFLX-01-0205)。

摘　　要：肺部生理及病理状态的准确判断对于新生儿的健康评估至关重要。超声作为一种安全无创、实时且便捷的影像检查技术,近年在新生儿肺部应用中取得了显著进展。本文从发现肺部超声伪像到疾病确立,对定性诊断新生儿肺疾病的过程进行回顾,分析新生儿肺部超声标准化的建立,以及半定量肺部超声评分对改善肺通气治疗的应用价值,探讨人工智能辅助诊断、弹性成像和造影在新生儿肺部疾病的研究前景,并对其局限性和潜在的安全问题进行分析,展望便携式超声在床旁重症监护及非医疗场景对新生儿肺部的应用前景,旨在为新生儿肺超声(Lung Ultrasound,LUS)进一步研究和技术改进提供思路,提高新生儿LUS的整体诊断水平,使更多新生儿从中受益。The accurate assessment of lung physiology and pathological conditions is vital for evaluating the health of neonates.Ultrasound,as a safe,non-invasive,real-time,and convenient imaging examination technology,has made significant progress in the field of neonatal lung applications in recent years.This paper reviewed the process of establishing the correspondence between the identification of pulmonary ultrasound artifacts and diseases,as well as the application process of qualitative diagnosis of neonatal lung diseases and discussed the standardization of neonatal lung ultrasound and the application value of semi-quantitative lung ultrasound scoring in improving lung ventilation therapy.Additionally,this paper explored the research prospects of AI-assisted diagnosis,elastography,and contrast-enhanced ultrasound in neonatal lung diseases,while analyzing their limitations and potential safety issues.Lastly,this paper discussed the future application scenarios of portable ultrasound in neonatal lung assessment,including bedside intensive care and non-medical settings,aiming to provide insights for further research and technological improvements in neonatal lung ultrasound,ultimately enhancing the overall diagnostic capabilities and benefiting a larger number of neonates.

关 键 词：新生儿 肺超声 呼吸窘迫综合征 辅助诊断 弹性成像 新生儿湿肺综合征 

分 类 号：R445.1[医药卫生—影像医学与核医学]