| 杜京奚,王臻,王玉娟,王鹏,段云友,杨勇.肺部超声动态评价支气管肺泡灌洗治疗感染性肺炎患儿的临床效果[J].中国医学影像技术,2022,38(6):864~867 |
| 肺部超声动态评价支气管肺泡灌洗治疗感染性肺炎患儿的临床效果 |
| Lung ultrasonography for dynamic observation of clinical effects of bronchoalveolar lavage in children with infectious pneumonia |
| 投稿时间：2021-11-02 修订日期：2022-02-21 |
| DOI：10.13929/j.issn.1003-3289.2022.06.017 |
| 中文关键词: 肺炎 超声检查 支气管肺泡灌洗 儿童 |
| 英文关键词:pneumonia ultrasonography bronchoalveolar lavage child |
| 基金项目:空军军医大学第二附属医院临床研究项目（2021LCYJ030）。 |
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| 中文摘要: |
| 目的 观察肺部超声（LUS）动态评价支气管肺泡灌洗（BAL）治疗感染性肺炎患儿效果的价值。方法 纳入30例接受BAL治疗的感染性肺炎患儿，分别于治疗前、治疗后（2~6天）及出院当天行LUS检查，观察肺部声像图表现并进行LUS评分，测量最高体温及氧合指数（PaO2/FiO2），分析LUS评分与PaO2/FiO2的相关性。结果 治疗后及出院当天，患儿最高体温逐渐减低，PaO2/FiO2逐渐增加；LUS评分逐渐减低，较显著肺实变范围逐渐缩小（P均<0.05）。治疗前LUS评分与PaO2/FiO2呈负相关（rs=－0.560 7，P=0.001 3）；治疗后LUS评分降低程度与PaO2/FiO2增加程度呈正相关（rs=0.480 3，P=0.007 2）。结论 LUS可动态观察并评估BAL治疗感染性肺炎效果。 |
| 英文摘要: |
| Objective To explore the value of lung ultrasonography (LUS) for dynamic assessment of therapeutic effect of bronchoalveolar lavage (BAL) in children with infectious pneumonia. Methods Thirty children with infectious pneumonia treated with BAL were enrolled. LUS was performed before treatment, 2-6 days after treatment and on the day of discharge, respectively. Lung ultrasonography was observed and LUS score was assessed, the maximum body temperature and oxygenation index (PaO2/FiO2) were measured, and the correlation between LUS score and PaO2/FiO2 was analyzed. Results The maximum body temperature gradually decreased after treatment and on the day of discharge, PaO2/FiO2 gradually increased, LUS score gradually decreased, and the range of significant lung consolidation gradually narrowed (all P<0.05). Before treatment, there was a significant negative correlation between LUS score and PaO2/FiO2 (r=-0.560 7, P=0.001 3). After treatment, the reduction of LUS score was positively correlated with the increase of PaO2/FiO2 (r=0.480 3, P=0.007 2). Conclusion LUS could dynamically observe and evaluate the therapeutic effect of BAL for treatment of children with infectious pneumonia. |
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