Journal of Shandong University (Health Sciences) ›› 2018, Vol. 56 ›› Issue (6): 29-34.doi: 10.6040/j.issn.1671-7554.0.2017.1239

Previous Articles     Next Articles

Clinical value of lung ultrasound in the diagnosis of neonatal infectious pneumonia

YUAN Peng, LI Ya, ZHANG Feixue, WANG Qing   

  1. 1. Ultrasonic Medical Center, The Second Hospital of Shandong University, Jinan 250033, Shandong, China;
    2. Radiology Department, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China
  • Published:2022-09-27

PDF (PC)

16

Abstract: Objective To discuss the clinical value of lung ultrasound(LUS)in the diagnosis of neonatal infectious pneumonia(IPN). Methods The chest X-ray(CXR)and LUS results of 80 infants with IPN clinical signs and symptoms from May 2016 to Oct. 2017 were retrospectively analyzed, and the positive diagnosis rates were also comparied. The IPN infants diagnosed by LUS were followed up to observe therapeutic effects. Results The positive diagnosis rate of LUS and CXR were respective 95%(76/80)and 81%(65/80), in which 4 infants were CXR positive while LUS negative, 15 infants were CXR negative while LUS positive. Seventy-six infants were followed up with LUS, in which 40 showed a complete regression, 15 had absorptions of consolidation while with scattered or confluent B-lines, 13 had significantly reduced consolidation, 8 had no obvious changes in size of consolidation, and 4 exhibited a “lung pulse”. Conclusion LUS is of great value in diagnosis and monitor the progresses of IPN, and can be used as the preferred diagnostic method in imaging.

Key words: Lung ultrasound, Neonatal, Pneumonia, Chest X-ray

CLC Number: 

  • R445
[1] 郭艳梅,刘翠青.河北省儿童医院新生儿呼吸衰竭的临床流行病学特点[J].中华围产医学杂志,2012, 15(11): 670-675. GUO Yanmei, LIU Cuiqing. Clinical epidemiological characteristics of neonatal respiratory failure in Childrens Hospital of Hebei Province[J]. Chin J Perinat Med, 2012, 15(11): 670-675.
[2] Lichtenstein DA, Lascols N, Mezière G, et al. Ultrasound diagnosis of alveolar consolidation in the critically ill[J]. Intensive Care Med, 2004, 30(2): 276-281.
[3] Alrajhi K, Woo MY, Vaillancourt C. Test characteristics of ultrasonography for the detection of pneumothorax: a systematic review and meta-analysis[J]. Chest, 2012, 141(3): 703-708.
[4] Caiulo VA, Gargani L, Caiulo S, et al. Lung ultrasound characteristics of community-acquired pneumonia in hospitalized children[J]. Pediatr Pulmonol, 2013, 48(3): 280-287.
[5] Chen L, Zhang Z. Beside ultrasonography for diagnosis of pneumothorax[J]. Quant Imageing Med Surg, 2015, 5(4): 618-623.
[6] Reissig A, Gramegna A, Aliberti S. The role of lung ultrasound in the diagnosis and follow-up of community-acquired pneumonia[J]. Eur J Intern Med, 2012, 23(5): 391-397.
[7] Volpicelli G, Elbarbary M, Blaivas M, et al. International evidence based recommendations for point-of-care lung ultrasound[J]. Intensive Care Med, 2012, 38(4): 577-591.
[8] 肖梅,叶鸿瑁,丘小汕.实用新生儿学[M].4版.北京:人民卫生出版社,2011: 401-405.
[9] Strauss K, Kaste S. The ALARA(as low as reasonably achievable)concept in pediatric interventional and fluoroscopic imaging: striving to keep radiation doses as low as possible during fluoroscopy of pediatric patients-a white paper executive summary[J]. Pediatr Radiol, 2006, 36(2): 110-112.
[10] Frush DP. Radiation, thoracic imaging, and children: radiation safety[J]. Radiolclin North Am, 2011, 49(5): 1053-1069.
[11] Thomas KE, Parnell-Parmley JE, Haidar S, et al. Assessment of radiation dose awareness among pediatricians[J]. Pediatr Radiol, 2006, 36(8): 823-832.
[12] Reali F, Sferrazza Papa GF, Carlucci P, et al. Can lung ultrasound replace chest radiography for the diagnosis of pneumonia in hospitalized children?[J]. Respiration, 2014, 88(2): 112-115.
[13] Copetti R, Cattarossi L. Ultrasound diagnosis of pneumonia in children[J]. Radiol Med, 2008, 113(2): 190-198.
[14] Pagano A, Numis FG, Visone G, et al. Lung ultrasound for diagnosis of pneumonia in emergency department[J]. Intern Emerg Med, 2015, 10(7): 851-854.
[15] Reissig A, Copetti R, Mathis G, et al. Lung ultrasound in the diagnosis and follow-up of community acquired pneumonia: a prospective multicentre diagnostic accuracy study[J]. Chest, 2012, 142(4): 965-972.
[16] 刘敬,王华伟,韩涛,等.肺脏超声诊断新生儿感染性肺炎[J].中华围产医学杂志,2014, 17(7): 468-472. LIU Jing, WANG Huawei, HAN Tao, et al. Lung ultrasonography for the diagnosis of severe neonatal pneumonia[J]. Chinese Journal of Perinatal Medicine, 2014, 17(7): 468-472.
[17] Basile V, Di Mauro, Scalini E, et al. Lung ultrasound: a useful tool in diagnosis and management of bronchiolitis[J]. BMC Pediatr, 2015, 15(1): 63.
[18] Tsai NW, Ngai CW, Mok KL, et al. Lung ultrasound imaging in avian influenza A(H7N9)respiratory failure[J]. Crit Ultrasound J, 2014, 6(1): 1-8.
[19] 刘敬,刘颖,王华伟,等.肺脏超声对新生儿肺不张的诊断价值[J].中华儿科杂志, 2013, 51(9): 644-649. LIU Jing, LIU Ying, WANG Huawei, et al. Lung ultrasound for diagnosis of neonatal atelectasis[J]. Chin J Pediatr, 2013, 51(9): 644-649.
[20] Lichtenstein DA, Lascols N, Prin S, et al. The “lung pulse”: an early ultrasound sign of complete atelectasis[J]. Intensive Care Med, 2003, 29(12): 2187-2192.
[21] Luri D, De Candia A, Bazzocchi M. Evaluation of the lung in children with suspected pneumonia: usefulness of ultrasonography[J]. Radiol Med, 2009, 114(2): 321-330.
[22] Nazerian P, Volpicelli G, Vanni S, et al. Accuracy of lung ultrasound for the diagnosis of consolidations when compared to chest computed tomography[J]. Am J Emerg Med, 2015, 33(5): 620-625.
[23] Shah VP, Tunik MG, Tsung JW. Prospective evaluation of clinicianperformed point-of-care ultrasound for the diagnosis of pneumonia in children[J]. JAMA Pediatr, 2013, 167(2): 119-125.
[1] HAN Jing, JIA Chunling. Effects of periodontal basic therapy on postoperative pneumonia in patients with lung cancer before thoracic surgery [J]. Journal of Shandong University (Health Sciences), 2022, 60(9): 113-118.
[2] AN Yuanxiaoxue, DU Yiming, TIAN Tian, ZHANG Yi, XUE Yuwen. Pulmonary infection caused by Nocardia pneumoniae and Nocardia amamiensis: a case report and literature review [J]. Journal of Shandong University (Health Sciences), 2022, 60(3): 59-63.
[3] GUO Man, LIU Peng, LONG Lin. Effect of Fangxian Decoction on rats with radiation pneumonia and its mechanism [J]. Journal of Shandong University (Health Sciences), 2021, 59(8): 53-60.
[4] LIU Xiao, GUO Xinyuan, ZHANG Dejian, LI Qi, LI Ning, XUE Jiang. Effects of bedside lung ultrasonography and lung ultrasonography score in the diagnosis and treatment of 70 cases of neonatal respiratory distress syndrome [J]. Journal of Shandong University (Health Sciences), 2021, 59(7): 50-56.
[5] ZHU Yuchen, LI Chunyu, QI Chang, WANG Ying, LIU Lili, ZHANG Dandan, WANG Xu, KANG Dianmin, LI Xiujun. Reproduction number estimation and epidemic analysis of coronavirus disease 2019 in Shandong Province based on Poisson process [J]. Journal of Shandong University (Health Sciences), 2020, 58(10): 32-37.
[6] MENG Wei, WU Dawei, SHAN Tichao, ZHANG Fan, GUO Haipeng, LIU Yu, DING Shifang, ZHAI Qian. Tigecycline in treating ventilator-associated pneumonia in critically ill patients [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(4): 71-75.
[7] QIU Jie, ZANG Lijiao, ZHUANG Genmiao, AN Li. Correlation between multiorgan damage and perinatal asphyxia occurred at different gestational ages [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(9): 64-68.
[8] XU Tianyi, WU Ping, WANG Ailing, CHEN Liping. Clinical effect of milrinone atomization inhalation on treating severe pneumonia complicated with heart failure of neonates and infants [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(7): 88-90.
[9] HONG Haijie, SUN Wenjuan, ZHANG Yuan, XU Yongping. Influencing factors of adverse outcomesin term neonates delivered by elective caesarean [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(5): 56-61.
[10] ZHUANG Genmiao, TANG Ling, ZANG Lijiao, AN Li. Correlation between serum prealbumin and neonatal behavioral neurological assessment of hypoxic-ischemic encephalopathy in neonates [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(12): 37-40.
[11] LIN Chen, GUO Fang, JI Weina, YU Wencheng. Levels of peripheral blood TNF-α, sTREM-1 and α1-APG in community acquired pneumonia patients [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(2): 61-64.
[12] SHAO Qin, DIAO Yuqiao. Predictive value of umbilical cord blood in combination with peripheral artery blood pH for neonatal hypoxic ischemia encephalopathy [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(11): 38-40.
[13] LI Dan, LI Jingyi, DONG Yanqing, REN Yi, TIAN Xiujun, XIN Deli. Detection of Mycoplasma pneumoniae in nasopharyngeal swab samples collected from children with acute respiratory infections by loop-mediated isothermal amplification [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(10): 55-60.
[14] WU Qian1, DING Qi-cui2, SONG Guo-dong1, WANG Wei1. Clinical aspects and prognostic factors of senile chronic-onset post-stroke pneumonia [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2013, 51(5): 75-79.
[15] CHEN Hong, LIU Qing-hua, GUO Hai-sheng, LI Fang, KANG Yan-meng, LIN Dian-jie. Associations of interleukin-6 and soluble E-selectin
with severity and outcome of pneumonia [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2012, 50(2): 82-.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Copyright 2018 © Editorial office of Journal of Shandong University (Health Sciences)
Supported by Beijing Magtech Co.Ltd