Lung ultrasonography to diagnose meconium aspiration syndrome of the newborn
| Autor: | Wei Fu, Jing Liu, Hai-Ying Cao |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
musculoskeletal diseases
Male medicine.medical_specialty Pulmonary Atelectasis Lung ultrasonography Pleural effusion Atelectasis Biochemistry 03 medical and health sciences 0302 clinical medicine Pulmonary consolidation Clinical Notes 030225 pediatrics medicine Meconium aspiration syndrome Humans Medical history 030212 general & internal medicine Prospective Studies Lung lung ultrasound Ultrasonography Rib cage business.industry Biochemistry (medical) fungi Infant Newborn Cell Biology General Medicine medicine.disease Pleural Effusion medicine.anatomical_structure Case-Control Studies Female Radiography Thoracic Radiology medicine.symptom neonate business |
| Zdroj: | The Journal of International Medical Research |
| ISSN: | 1473-2300 0300-0605 |
| Popis: | Objective To investigate the diagnostic value of lung ultrasonography for neonatal meconium aspiration syndrome (MAS). Methods This prospective observational study enrolled patients diagnosed with MAS based on medical history, clinical manifestations and chest X-ray and control newborns without MAS. During ultrasonography, each lung was divided into three regions (front, lateral, and back), using anterior and posterior axillary lines as the boundary. While scanning each region of the lungs, the hand piece was perpendicular or parallel to the ribs. Results This study enrolled 117 newborns with MAS and 100 controls. The main lung ultrasonographic findings in patients with MAS were: (i) pulmonary consolidation with air bronchogram was found in all patients; (ii) pleural line anomalies and the disappearance of the A-line was found in all patients; (iii) atelectasis was found in 19 (16.2%) severe cases, who demonstrated severe massive atelectasis and visible lung pulse; (iv) pleural effusion was found in 16 patients (13.7%); and (v) alveolar-interstitial syndrome or B-line in the non-consolidation area was found in all patients with MAS. Conclusion Ultrasonography can be used routinely to diagnose MAS in an accurate, reliable, convenient, and non-invasive manner. |
| Databáze: | OpenAIRE |
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