| 摘要: |
| 目的 探讨超声评价儿童肺炎的可信度，为儿童肺炎诊断提供一种新的方法。方法 本研究分析了2015年7月至2016年10月在儿科考虑为肺炎的60例住院患者，24小时内进行了胸片和肺超声检查。患儿通过病史、体格检查、实验室和仪器检测（不包括超声）做出肺炎诊断，对胸片和肺超声的结果进行比较分析。结果 从60例考虑肺炎的儿童患者中选出34例，胸片检查出30(88.2%)例，超声发现33(97.1%)例，3例患者胸片不能证实是肺炎；1例超声阴性的患者，胸片表现为阳性。超声对肺炎诊断的敏感性是96.5%，特异性为96.1%，阳性预测值为97.6%，阴性预测值为76.5%。结论 肺超声对儿童肺炎的诊断有较高准确性，对儿童肺炎患者是一种理想影像检查手段。 |
| 关键词: 肺超声 儿童 肺炎 |
| DOI： |
| 投稿时间：2016-12-18修订日期：2018-01-16 |
| 基金项目: |
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| The value of bedside Ultrasonography to children pneumonia |
| LiuLei,WangShu-min |
| () |
| Abstract: |
| Objective To explore the credibility of ultrasound‘s diagnosis of children"s pneumonia, to provide a new method for diagnosing of children pneumonia. Methods We collected 60 cases pediatric pneumonia hospitalized children in July 2015 to October 2016 in our hospital, who did the chest radiograph and lung ultrasound in 24 hours. Children through With the history, physical examination, laboratory testing (not including of ultrasonic) to make a diagnosis of pneumonia, the results of chest radiograph and lung ultrasound are compared. Results Selecting 34 cases from 60 children who were considered to be pneumonia, the X-ray diagnosed 30 (88.2%) cases, ultrasound diagnosed 33 (97.1%) cases, with chest X-ray ,3 cases were not confirmed pneumonia; 1 case with negatie ultrasound, X-ray performance is positive. The sensitivity of diagnosing of ultrasonic for the pneumonia is 96.5%, specificity is 96.1%, positive predictive value is 97.6%, negative predictive value is 76.5%. Conclusion Lung ultrasound shows high accuracy in the detection of children pneumonia and is a reliable image diagnosis method for children pnermonia. |
| Key words: Lung ultrasonoguaphy,child, pneumonia |
