Lung ultrasound for the diagnosis of community-acquired pneumonia in children
Lung ultrasound for the diagnosis of community-acquired pneumonia in children
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DOI：
10.1007/s00247-017-3910-1
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发表时间：
2017-10-01
影响因子：
2.3
通讯作者：
Zar, Heather J.
中科院分区：
文献类型：
--
作者：
Stadler, Jacob A. M.;Andronikou, Savvas;Zar, Heather J.
超声（US）已被提议作为诊断儿童社区获得性肺炎的替代一线成像方式。肺部超声与胸部X线摄影相比，具有无辐射、法规要求较少、成本相对较低以及可立即在床旁获得结果的潜在优势。然而，肺部超声在临床实践中的应用进展缓慢，尚未纳入儿童社区获得性肺炎的临床指南。本综述的目的是概述用于对疑似肺炎的儿童进行肺部超声检查的设备和技术，以及相关超声检查结果的解释。我们还总结了目前肺部超声诊断准确性和可靠性的证据相比，替代成像方式在儿童和严格考虑肺部超声用于儿童疑似社区获得性肺炎的优势和局限性。
Ultrasound (US) has been proposed as an alternative first-line imaging modality to diagnose community-acquired pneumonia in children. Lung US has the potential benefits over chest radiography of being radiation free, subject to fewer regulatory requirements, relatively lower cost and with immediate bedside availability of results. However, the uptake of lung US into clinical practice has been slow and it is not yet included in clinical guidelines for community-acquired pneumonia in children. The aim of this review is to give an overview of the equipment and techniques used to perform lung US in children with suspected pneumonia and the interpretation of relevant sonographic findings. We also summarise the current evidence of diagnostic accuracy and reliability of lung US compared to alternative imaging modalities in children and critically consider the strengths and limitations of lung US for use in children presenting with suspected community-acquired pneumonia.