超声对儿童肺炎的诊断价值

Diagnostic Value of Ultrasound in Children with Pneumonia

摘要: 目的：研究分析超声在儿童肺炎的诊断价值。资料与方法：将2018年1月至2018年5月本院儿科住院的198例临床诊断肺炎病例纳入研究对象，分析研究其肺脏超声检查的征象特点，在此198例患儿入院后6小时内同时行肺部X线检查，对比两者的符合率、阳性预测值及特异度。并对198例患儿病情变化时及时复查肺脏超声，分析检查结果与临床表现差异值。结果：198例儿童肺炎肺脏超声检查结果及肺部X线结果比较中肺脏超声诊断符合率及阳性预测值均高于肺部X线检查。结论：肺脏超声对儿童肺炎的诊断方面具有高的准确性和敏感性，加之具有重复性强特点随时对小儿肺部炎症变化适时观察评估，以此帮助临床进一步改善治疗方案，促进患儿恢复，疗效显效。

Abstract: Objective: To study and analyze the value of ultrasound in treating child pneumonia. Materials and Methods: 198 cases that were clinically diagnosed as pneumonia and hospitalized in Pediatrics from January 2018 to May 2018 were included in the study. And the characteristics of lung ultra-sonography were analyzed. The 198 cases got the lung X-ray examination at the same time within 6 hours after admission to compare the coincidence rate, the positive predictive value and specificity between the two. With changes in the conditions of the 198 children, the lung ultrasound was also timely reviewed. And the differences between the examination results and clinical manifestations were analyzed. Results: After comparing the results of lung ultrasonography and lung X-ray examination among the 198 children with child pneumonia, it is found that the coincidence rate and positive predictive value of ultrasonographic diagnosis in pneumonia were much higher than those of lung X-ray examination. Conclusion: Lung ultrasound has a high accuracy and sensitivity in the diagnosis of pneumonia in children, combined with a strong characteristic of reproducibility to timely observe and evaluate the inflammatory changes in children’s lungs, which helps further improve the treatment protocol and promotes the recovery of children. The effect is markedly effective.