PDF(Pubmed)
Abstract：
Introduction Lung diseases are the most frequently encountered form of diseases primarily affecting infants under one year of age. Although the chest X-ray is the first modality of choice, ultrasonography (USG) has emerged as an alternative. Lung ultrasound (LUS) finds its application in the evaluation of several pediatric lung diseases. Objective To assess the use of LUS in acute lower respiratory infections and assess the correlation between etiological diagnosis and radiological diagnosis. Methods This was a hospital-based prospective observational study conducted with children presenting with upper respiratory infections. Around 97 children were included in the study. Clinical diagnosis was made by the pediatrician. LUS was performed by a trained radiologist, using the two-dimensional (2D) ultrasound mode and motion mode (M mode) to assess the LUS in the respective areas of the chest, thereby assessing bilateral lung fields for these patients. Results The majority of our study participants were under one year old (87%), and more than half were male (55%). Bronchiolitis and lower respiratory tract infections (LRIs) were the most commonly seen clinical diagnoses. The distribution of USG findings was statistically significant across the clinical diagnosis (p-value < 0.05). Conclusion Our study found that LUS can serve as an important tool for diagnosing several acute respiratory diseases. It also showed that LUS can replace X-rays in cases of children diagnosed with acute respiratory diseases.
摘要：
引言肺部疾病是最常见的疾病形式,主要影响一岁以下的婴儿。虽然胸部X光是首选模式，超声检查（USG）已成为一种替代方法。肺部超声（LUS）在多种儿科肺部疾病的评估中具有应用价值。目的评估LUS在急性下呼吸道感染中的应用，并评估病因诊断与放射学诊断之间的相关性。方法这是一项以医院为基础的前瞻性观察性研究，对表现为上呼吸道感染的儿童进行。大约97名儿童被纳入研究。临床诊断由儿科医生做出。LUS是由训练有素的放射科医生执行的，使用二维（2D）超声模式和运动模式（M模式）来评估胸部各个区域的LUS，从而评估这些患者的双侧肺野。结果我们的大多数研究参与者都在1岁以下（87％），一半以上是男性(55%)。细支气管炎和下呼吸道感染（LRI）是最常见的临床诊断。USG发现的分布在整个临床诊断中具有统计学意义（p值<0.05）。结论我们的研究发现，LUS可以作为诊断几种急性呼吸系统疾病的重要工具。它还表明，在被诊断患有急性呼吸道疾病的儿童中，LUS可以代替X射线。
