Department of Pediatrics, School of Medicine, Zhongda Hospital, Southeast University, Nanjing, Jiangsu, PR China , qiaolixing@aliyun.com
Abstract: (10 Views)
Background:This research aimed to investigate imaging features of bedside ultrasound in different degrees of neonatal respiratory distress syndrome (NRDS). Materials and Methods: Eighty premature children admitted to neonatal intensive care unit (NICU) of Zhongda Hospital Affiliated to Southeast University within 6-12 hours after birth and diagnosed with NRDS by clinical and chest X-ray between January 2019 and December 2019 were selected. The children were divided into pulmonary surfactant (PS) treatment group (22 cases) and non-PS treatment group (58 cases). The lung ultrasound (LUS) score and total score of 12 regions was calculated, and score was compared with different degrees of NRDS in clinical neonates to compare ultrasound characteristics of different degrees of NRDS. Results: There was a positive correlation between 12 zone ultrasound score of double lung and grade of chest X-ray impact (r=0.872, P<0.001). The ultrasound scores were positively correlated with degree of respiratory distress (r=0.905, P<0.001). In PS administration group, the degree of respiratory distress improved from severe to mild (10 cases) and non-mild (12 cases) 2 hours after administration. Conclusion: Ultrasonography can be used as a non-invasive imaging method to diagnose condition of children with NRDS and dynamically predict prognosis of NRDS, which may offer a preliminary basis for ultrasonic-assisted clinical diagnosis and therapy.