肺部超声波的特征在患有支气管炎和 coinfections 的婴儿中更严重吗?
Domenico Umberto De Rose1,2, Chiara Maddaloni1, Ludovica Martini1
1Neonatal Intensive Care Unit, "Bambino Gesù" Children's Hospital IRCCS, Rome, Italy.
Frontiers in pediatrics
|January 1, 2024
概括
肺部超声波 (LUS) 评分在单一病毒感染的婴儿和同时感染的婴儿之间没有差异. 然而,LUS得分可以预测患有支气管炎的婴儿需要呼吸辅助和机械通风.
科学领域:
- 儿科肺病学 儿科肺病学
- 新生儿医学 新生儿医学
- 医疗成像医学成像
背景情况:
- 支气管炎是婴儿常见的呼吸系统疾病.
- 肺部超声波 (LUS) 是评估呼吸困难的宝贵工具.
- 预测需要呼吸支的需要对于管理婴儿支气管炎至关重要.
研究的目的:
- 为了比较新生儿和患有支气管炎的婴儿的肺超声波 (LUS) 评分.
- 为了确定LUS得分是否在单一病毒感染的婴儿和共感染的婴儿之间有所不同.
- 为了评估LUS得分对呼吸支的预测值.
主要方法:
- 对新生儿和婴儿 (<3个月) 经过支气管炎入院的回顾性研究.
- 在入院时进行的肺部超声波评估.
- 分析LUS得分与感染类型 (单一或共同感染) 以及需要呼吸辅助的关系.
主要成果:
- 其中包括60名婴儿;70%患有单一病毒感染,30%患有并发感染.
- 在单一感染和共感染组之间没有观察到LUS得分的显著差异.
- LUS得分>8预测呼吸支持 (p=0.0035);LUS得分>13预测机械通风 (p=0.024).
结论:
- 在这个队列中,单一病毒感染的婴儿和同时感染的婴儿之间,入院时的LUS得分没有差异.
- LUS评分仍然是一个有用的工具,用于预测患有支气管炎的住院婴儿的呼吸支持需求.
相关概念视频
Pulmonary Cycle: Exhalation
1.6K
In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
1.6K
Respiratory System Abnormal Finding I: Inspection and Percussion
274
Respiratory system abnormalities are a significant concern in healthcare due to their potential to indicate underlying severe conditions like Chronic Obstructive Pulmonary Disease (COPD), asthma, and pneumonia. These abnormalities can often be detected through physical examination methods like inspection and percussion.
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
274
Pneumonia II: Pathophysiology
279
The pathophysiology of pneumonia involves the following steps:
279
Respiratory System Abnormal Finding II: Palpation and Auscultation
474
In assessing respiratory abnormalities, palpation and auscultation are critical tools for detecting and interpreting various pathophysiological changes. These techniques provide insight into underlying disorders by evaluating tactile sensations and sounds produced by the respiratory system.
Palpation Findings
During a respiratory assessment, palpation can reveal several vital abnormalities:
Palpation Findings
During a respiratory assessment, palpation can reveal several vital abnormalities:
474
Assessment of Respiration
1.1K
The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
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...
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...
1.1K
Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.
2.8K
Understanding the variety of primary symptoms and systemic complications that characterize chronic obstructive pulmonary disease (COPD) is crucial for healthcare professionals.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
2.8K


