在患有无症状先天性肺形的儿童中产后胸部X射线
Louis W J Dossche1, Charlotte S van den Aardwegh1, Casper M Kersten1
1Department of Pediatric Surgery, Erasmus MC Sophia Children's Hospital, Rotterdam, The Netherlands.
对于患有先天性肺形 (CLM) 的无症状婴儿进行常规的产后胸部X射线 (CXR) 没有临床用处. CXR的发现没有影响患者的管理或结果,这表明该实践可以被遗漏.
科学领域:
- 儿科放射学 儿科放射学
- 新生儿成像学 新生儿成像学
- 遗传性缺陷 遗传性缺陷是一种先天性缺陷
背景情况:
- 产后胸部X射线 (CXR) 经常在产前诊断出先天性肺形 (CLMs) 的婴儿中进行.
- 这些常规CXR在无症状新生儿中的临床效用仍然不确定.
研究的目的:
- 评估在产前被诊断患有先天性肺形 (CLM) 的无症状婴儿进行例行产后胸部X射线 (CXR) 的合理性.
- 评估CXR发现对症状发展和对临床管理的影响的预测价值.
主要方法:
- 对121名已确认患有CLM的无症状婴儿进行前性研究.
- 对产后胸部X射线 (CXR) 发现的分析和与4周和6个月症状发展的相关性.
- 评估CXR结果与额外的诊断或长时间住院之间的关联.
主要成果:
- 胸部X射线 (CXR) 在71%具有先天性肺形 (CLMs) 的婴儿中显示出异常.
- 症状发展的积极预测值很低 (0.05在4周,0.25在6个月).
- CXR发现与进一步的诊断有关,但没有改变临床管理或住院时间.
结论:
- 常规的产后胸部X射线 (CXR) 不适用于产前诊断为先天性肺形 (CLMs) 的无症状婴儿.
- 忽略常规CXR可以被认为是因为发现不会影响临床管理决策.
更多相关视频
05:50International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure
Published on: March 12, 2020
11:27A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
Published on: April 7, 2023
相关概念视频
Pneumothorax-II
Clinical Manifestations:
Imaging Studies for Cardiovascular System III: X-Ray
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Radiological Investigation I: X-ray and CT
Physical Assessment of the Respiratory Tract II: Inspection
Chest Configuration
The chest configuration...
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...
Chest Physiotherapy
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
