CAJ | 학술논문

目的肺脏超声已经广泛应用于肺脏疾病的诊断与鉴别诊断,本文旨在研究肺脏超声对明确早产儿长期氧依赖肺部原因的可行性与必要性.方法对临床上诊断为支气管肺发育不良(bronchopulmonary dysplasia,BPD)的50例患儿进行肺脏超声筛查,并记录相关所见结果.结果 50例临床诊断为BPD的患儿中,肺脏超声检查发现肺不张9例、肺炎4例、严重肺水肿2例、肺水肿伴局灶性肺实变3例.对其进行相应处理后,患儿对氧的依赖消肖失或程度明显减轻,即超过1/3(36％,18/50)患儿的氧依赖并非BPD或非单纯BPD引起.结论肺脏超声对协助诊断与鉴别患儿长期氧依赖的肺部病因有重要价值,有助于避免诊断扩大化及指导治疗,提示有必要对目前使用的BPD诊断标准予以修订.
목적 폐장초성이경엄범응용우폐장질병적진단여감별진단,본문지재연구폐장초성대명학조산인장기양의뢰폐부원인적가행성여필요성.방법 대림상상진단위지기관폐발육불량(bronchopulmonary dysplasia,BPD)적50례환인진행폐장초성사사,병기록상관소견결과.결과 50례림상진단위BPD적환인중,폐장초성검사발현폐불장9례、폐염4례、엄중폐수종2례、폐수종반국조성폐실변3례.대기진행상응처리후,환인대양적의뢰소초실혹정도명현감경,즉초과1/3(36％,18/50)환인적양의뢰병비BPD혹비단순BPD인기.결론 폐장초성대협조진단여감별환인장기양의뢰적폐부병인유중요개치,유조우피면진단확대화급지도치료,제시유필요대목전사용적BPD진단표준여이수정.
Objective Lung ultrasound has been used extensively to diagnose many types of lung disease.This study aimed to evaluate the pulmonary reasons for long-term oxygen dependence (LTOD) in premature infants using lung ultrasound.Methods Lung ultrasound was routinely performed in 50 premature infants clinically diagnosed with bronchopulmonary dysplasia(BPD).Results Among the 50 patients studied,there were 9 cases of atelectasis,4 cases of pneumonia,2 cases of severe pulmonary edema,and 3 cases of pulmonary edema and consolidation that coexisted with BPD.The babies' oxygen dependence either resolved completely or significantly decreased following appropriate treatments.Conclusion More than onethird of the cases of LTOD in premature babies were caused by either BPD alone or diseases other than BPD.Lung ultrasound plays an important role in differentiating pulmonary causes of LTOD in BPD patients,and the results of our study suggest that modifying the diagnostic criteria for BPD may be necessary.