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目的比较分析床旁CR胸片与床旁胸部超声检查在新生儿肺透明膜病的临床诊断价值。方法选取医院新生儿科初步诊断为新生儿肺透明膜病的78例患儿作为研究对象,将数字化X线(DR)检查结果作为金标准,分析床旁胸片与床旁超声检查在新生儿肺透明膜病的诊断意义。结果超声及CR检查的敏感性分别为90.77%、76.92%,特异性为69.23%、38.46%,阳性预期值为93.65%、86.21%,阴性预期值为60.00%、25.00%,2种检查方法敏感性和阴性预期值间比较差异有统计学意义(P<0.05)。结论床旁超声检查安全性高,操作方便,可作为新生儿肺透明膜病诊断中新的辅助诊断方法。
OBJECTIVE: To compare the clinical diagnostic value of bedside chest radiograph with bedside chest ultrasonography in neonatal hyaline membrane disease. Methods A total of 78 children with neonatal hyaline membrane disease were selected as the research object from the neonatology department of the hospital. The digital radiography (DR) was used as the gold standard. The results of bedside chest radiography and bedside ultrasonography were compared between neonatal lung Diagnostic significance of hyaline membrane disease. Results The sensitivities of ultrasound and CR were 90.77%, 76.92%, 69.23%, 38.46% respectively, the positive predictive values were 93.65%, 86.21%, the negative predictive values were 60.00%, 25.00% There was significant difference between the expected and the expected values (P <0.05). Conclusion Bedside ultrasonography is safe, easy to operate and can be used as a new diagnostic method for the diagnosis of hyaline membrane disease in neonates.