Two years of clinical practice in the diagnosis of pulmonary diseases by ultrasound instead of X-ray in neonatal ward

Abstract

Objective \nTo summarize the routine application of neonatal lung ultrasound in neonatal and NICU department of our hospital in the past 2 years, and to explore the feasibility of using ultrasound instead of X-ray in diagnosing pulmonary diseases in neonatal ward. \n \n \nMethods \nFrom March 2017 to May 2019, a total of 2 874 children hospitalized in the department of neonatology in our hospital were collected to analyze the types of pulmonary diseases and the reliability of lung ultrasound diagnosis. \n \n \nResults \nA total of 2 874 children received lung ultrasound examination for 7 902 times, including 1 040 patients(36.2%) with pulmonary disease and 1 834 patients(63.8%)without pulmonary disease.There were 152 cases of neonatal respiratory distress syndrome, 112 cases of wet lung, 652 cases of pneumonia, 87 cases of meconium aspiration syndrome, 12 cases of pneumothorax (including 1 case with mediastinal emphysema), and 25 cases of pulmonary hemorrhage.Among the 2 874 children, 106 received X-ray examination of the lungs before admission, and received dynamic monitoring of lung ultrasound.Ninety-six cases were found to have pulmonary lesions, among which 8 cases were diagnosed with neonatal respiratory distress syndrome by X-ray examination and wet lung by lung ultrasound, and recovered quickly after treatment according to wet lung.In 2 cases, X-ray examination showed no pneumonia complicated with pneumothorax, while ultrasound diagnosis showed a small amount of pneumothorax, and ultrasound diagnosis showed pneumonia complicated with a small amount of pleural effusion in 1 case.The diagnostic coincidence rate was 91.7%. \n \n \nConclusion \nIt is feasible to use ultrasound instead of X-ray to diagnose pulmonary diseases in neonatal wards.Ultrasonic diagnosis of neonatal pulmonary diseases is worth promoting. \n \n \nKey words: \nNewborn;\xa0Lung ultrasound;\xa0Chest X-ray