对胎儿右侧的临床评估 量化肺指数
Eftichia Kontopoulos1,2,3, Mikaela Bulman3, Irina Gordienko4
1The USFetus Research Consortium, Miami, FL, USA.
对右肺的定量肺指数 (QLI-R) 可以预测患有先天性隔膜的胎儿的肺部缺血和新生儿死亡. 0.45或更低的QLI-R表明新生儿死亡风险更高.
科学领域:
- 医学成像医学成像
- 胎儿医学 胎儿医学
- 新生儿科学 新生儿科学
背景情况:
- 肺部缺血是新生儿死亡的一个重要风险因素.
- 需要独立于妊娠年龄的超声波指数来评估胎儿肺部大小.
- 之前已经描述了右肺的定量肺指数 (QLI-R).
研究的目的:
- 评估QLI-R的临床切断点,以预测肺部缺血症和新生儿死亡.
- 评估QLI-R在治疗先天性隔膜 (CDH) 的胎儿中的实用性.
主要方法:
- 在患有CDH和其他疾病的胎儿中对QLI-R的回顾性评估.
- ROC曲线分析,以确定最佳的QLI-R切线,以预测新生儿死亡.
- 对治疗和未治疗患者的QLI-R行为进行长度评估.
主要成果:
- 在CDH-L患者中,0.45或更低的QLI-R显著预测新生儿死亡 (敏感度77%,AUC0.64).
- QLI-R表现出高的intra-rater可靠性 (0.985) 并独立于妊娠年龄.
- 气管封闭后QLI-R的增加与新生儿存活的趋势有关.
结论:
- QLI-R是一个可重复的,独立于妊娠年龄的胎儿肺部大小的测量.
- 在预期管理的CDH-L患者中,0.45或更低的QLI-R切线预测新生儿死亡.
- QLI-R可以监测胎儿的肺生长后气管封闭,并可能表明新生儿的生存率.
更多相关视频
05:56Author Spotlight: Enhancing Diagnostic Strategies and Biomarker Development for Comprehensive Lung Function Analysis
Published on: August 9, 2024
14:19Fetal Echocardiography and Pulsed-wave Doppler Ultrasound in a Rabbit Model of Intrauterine Growth Restriction
Published on: June 29, 2013
相关概念视频
Physical Assessment of the Respiratory Tract II: Inspection
Chest Configuration
The chest configuration...
Assessment of Ventilation I: Respiratory Rate
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:
Assessment of Respiration
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
Assessment of Ventilation II: Respiratory Depth and Rhythm
Respiratory depth measures the volume of air inhaled or exhaled during a breath. It can vary from shallow to deep and typically remains consistent when a person is at rest or asleep. Occasionally, individuals will automatically inhale deeply, known as sighing, which inflates the lungs with more air than normal breathing.
To assess respiratory depth, observe the degree of chest excursion or movement:
Radiological Investigation II: MRI and Ventilation Perfusion Scan
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
Physical Assessment of the Respiratory Tract II: Palpation
Thoracic Palpation
Thoracic palpation detects tenderness, masses, lesions, respiratory excursions, and vocal fremitus. The nurse assesses...
