| 梁惠颖,陈智毅,廖剑艺,杨慧慧,谭小华.超声与X线胸片对新生儿暂时性呼吸增快症和呼吸窘迫综合征的诊断效能[J].中国医学影像技术,2018,34(5):683~687 |
| 超声与X线胸片对新生儿暂时性呼吸增快症和呼吸窘迫综合征的诊断效能 |
| Diagnostic efficacy of lung ultrasound and X-ray for neonatal respiratory distress syndrome and transient tachypnea |
| 投稿时间：2017-11-12 修订日期：2018-03-06 |
| DOI：10.13929/j.1003-3289.201711073 |
| 中文关键词: 肺 超声检查 新生儿暂时性呼吸增快症 呼吸窘迫综合征,新生儿 |
| 英文关键词:Lung Ultrasonography Transient tachypnea of the newborn Respiratory distress syndrome, newborn |
| 基金项目:广州市科技计划项目（201607010201）。 |
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| 中文摘要: |
| 目的 比较肺脏超声与X线胸片对新生儿暂时性呼吸增快症（TTN）和呼吸窘迫综合征（RDS）的诊断效能。方法 对120例呼吸困难新生儿于出生后6 h内行肺脏超声和X线胸片检查，以临床诊断为标准，计算两种检查方法诊断TTN和RDS的敏感度、特异度和准确率。结果 临床诊断75例TTN和34例RDS，肺脏超声诊断TTN的敏感度、特异度和准确率分别为96.00%（72/75）、88.89%（40/45）和93.33%（112/120），均高于X线胸片。肺脏超声诊断RDS的敏感度为85.29%（29/34），特异度为95.35%（82/86），准确率为92.50%，（111/120），而X线胸片诊断RDS的敏感度为88.23%（30/34），特异度为89.53%（77/86），准确率为89.17%（107/120）。结论 肺脏超声可准确诊断新生儿TTN和RDS。 |
| 英文摘要: |
| Objective To compare the efficacy of lung ultrasound and chest X-ray for diagnosis of neonatal transient respiration syndrome (TTN) and respiratory distress syndrome (RDS). Methods Totally 120 infants with respiratory distress underwent lung ultrasound and chest X-ray within 6 h after birth. Taking clinical diagnosis as the standard, the sensitivity, specificity and accuracy of lung ultrasound and X-ray for diagnosis of TTN and RDS were calculated. Results According to clinical diagnosis, there were 75 infants of TTN and 34 of RDS. The sensitivity, specificity and accuracy of lung ultrasound in diagnosis of TTN was 96.00% (72/75), 88.89% (40/45) and 93.33% (112/120), respectively, higher than those of chest X-ray (85.33%, 84.44% and 85.00%). Lung ultrasound showed 85.29% (29/34) of sensitivity, 95.35% (82/86) of specificity and 92.50% (111/120) of accuracy for diagnosis of RDS, whereas chest X-ray showed 88.23% (30/34) of sensitivity, 89.53% (77/86) of specificity and 89.17% (107/120) of accuracy. Conclusion Lung ultrasound is accurate for the diagnosis of TTN and RDS. |
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