肺部超声波和先天性隔膜的术后随访
R Gregorio-Hernández1, C Ramos-Navarro2, S Vigil-Vázquez2
1Neonatology Department, Gregorio Marañón Hospital, Madrid, Spain. rebeca.gregorio@salud.madrid.org.
European journal of pediatrics
|June 27, 2023
概括
肺部超声波 (LU) 有效地监测在先天性隔膜 (CDH) 手术后的肺部恢复. 它可靠地检测并发症并预测呼吸道结果,为传统成像提供无辐射的替代方案.
科学领域:
- 新生儿医学 新生儿医学
- 儿科手术 儿科手术
- 诊断成像 诊断成像 诊断成像
背景情况:
- 肺部超声波 (LU) 是为评估新生儿肺部空气和预测呼吸系统结果而建立的.
- 在先天性隔膜 (CDH) 的外科治疗中,LU的实用性仍未得到充分研究.
研究的目的:
- 评估LU在评估肺复发和诊断CDH新生儿手术后并发症中的作用.
- 为了更准确的诊断,将LU发现与CT扫描和胸部X射线进行比较.
主要方法:
- 8名CDH患者的队列在手术纠正前后接受了LU.
- 分析了LU模式,并根据机械通风持续时间 (≤7天与>7天) 进行了组对组比较.
- 的发现与CT扫描和胸部X射线相关联,以评估肺胸部,肺溢液和肺炎的诊断能力.
主要成果:
- 呼吸时间较短 (≤7天) 的新生儿在手术后48小时内显示出正常的LU模式.
- 呼吸时间较长 (>7天) 的新生儿在2-3周内表现出持续的间歇性或膜间歇性模式.
- 反侧肺部LU模式显示出潜在的呼吸道进化的预测因素.
- LU准确地确定了常见的术后并发症,与CT和X射线相比.
结论:
- 肺部超声波是一种有价值的,非侵入性的工具,用于监测肺部再呼吸,并检测手术后CDH患者的并发症.
- 在CDH管理中,LU为传统成像提供了无辐射,快速和串行评估的替代方案.
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