床旁超声与移动DR在新生儿重症监护室的应用比较

doi:DOI:10.12117/jccmi.2019.04.013

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Abstract Objective: To compare the diagnostic values of bedside ultrasound and mobile digital radiography(DR) in neonatal intensive care unit(NICU) for neonatal respiratory distress syndrome(NRDS) and wet lung, and for necrotizing enterocolitis(NEC). Methods: The newborns in NICU in our hospital from January 2015 to June 2017 were analyzed. There were 80 cases of newborns with dyspnea within 24 hours after birth. The diagnostic values of bedside ultrasound and mobile DR in NRDS and wet lung were analyzed respectively. During the same period, 67 cases of newborns with NEC were clinically diagnosed. The imaging features detection rates of NEC by bedside ultrasound and mobile DR were compared. Results: The diagnostic accordance rates of both bedside ultrasound and mobile DR in the diagnosis of NRDS were high(93.75% and 100%). However, the diagnostic accordance rate of bedside ultrasound in the diagnosis of wet lung was higher than that of mobile DR(95.35% and 51.16%), with significant difference(P<0.05). Compared with mobile DR, bedside ultrasound has higher detection rates of intestinal wall pneumatosis, portal vein pneumatosis, intestinal dilatation/intestinal obstruction, perforation signs, peritoneal effusion, immature intestinal development, and the difference was statistically significant(P<0.05). Conclusion: The application of bedside ultrasound in NICU is safer and noninvasive than that of mobile DR, and has higher differential diagnostic value for wet lung. The detection rate of various imaging features of neonatal NEC is higher, which is of great significance in guiding clinical diagnosis and treatment, and is worth popularizing.

Key words： Intensive care, neonatal Ultrasonography Radiography

Received: 15 May 2018

PACS:	Ｒ722.1
	Ｒ445.2
	Ｒ814.41

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	Articles by authors
	LIU Na
	LI Peng
	WANG Hui-ping
	ZHOU Qi
	LEI Xiao-ying

Cite this article:

LIU Na,LI Peng,WANG Hui-ping, et al. A comparison of application of bedside ultrasound and mobile digital radiography in neonatal intensive care unit[J]. JOURNAL OF CHINA MEDICAL IMAGING, 2019, 30(4): 281-285.

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http://www.jccmi.com.cn/EN/DOI:10.12117/jccmi.2019.04.013 OR http://www.jccmi.com.cn/EN/Y2019/V30/I4/281

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