郑州大学第一附属医院 a. 超声科丨b. 新生儿重症监护病房丨c. 放射科，河南 郑州 450052
Study on the Diagnosis of Pulmonary Atelactasis in Neonatal Intensive Care Unit with
Portable Color Doppler Ultrasonic Diagnostic Instrument
HE Xiaoa，ZHANG Ruifanga，CHENG Xiuyongb，LI Yana，WANG Lua，YU Ruinaa，SHANG Linaa，DING Lua，GAO Jianboc
a. Department of Ultrasound丨 b. Neonatal Intensive Care Unit丨 c. Department of Radiological, The First Affiliated Hospital of
Zhengzhou University, Zhengzhou Henan 450052, China
Abstract：Objective To investigate the diagnosis value of portable color doppler ultrasonic diagnostic instrument in pulmonary
atelactasis (PA) in neonatal intensive care unit (NICU). Methods Ultrasound were performed on 174 neonatals’ lung using portable
color doppler ultrasonic diagnostic instrument in NICU. According to clinical diagnosis, the incidence characteristics of PA were
statistically analyzed. Results There were 43 neonatals (24.71%) with PA of 174: 19 cases (44.19%) were with respiratory distress
syndrome (RDS)丨 1 case (2.33%) neonatal was with RDS and infectious pneumonia (IPN)丨 2 cases (4.66%) were follow-up of high
risk children (suffered RDS)丨 5 cases (11.63%) were with IPN丨 2 cases (4.66%) were with bronchopulmonary dysplasia (BPD) 8 cases
(18.60%) were with RDS and BPD丨 2 cases (4.66%) were with IPN and BPD丨 4 cases (9.30%) were non-respiratory diseases. The
morbidity rate of PA in premature neonatal was higher than that in termneonatal (P=0.000). There was a significant difference about
PA in non trachea intubation, tracheal intubation + pulmonary surfactant and trachea intubation + mechanical ventilation (P=0.000).
Comparing the two, the morbidity rate of PA in non trachea intubation was lower than that in trachea intubation + pulmonary
surfactant, trachea intubation + mechanical ventilation. There was not a significant difference between trachea intubation + pulmonary
surfactant and trachea intubation + mechanical ventilation. The morbidity rate of PA in neonatals with patent ductus arteriosis (PDA)
and/or ventricular septal defect (VSD) was higher than that who without that (P=0.016). Conclusion The portable color doppler
ultrasonic diagnostic instrument has high value in diagnosis and follow-up PA in NICU. The incidence rate of PA is higher and more
common in preterm neonatal in NICU. It’s closely related with trachea intubation, PDA,VSD. The RDS is the primary cause. It is
also found in infants with non-respiratory diseases.
贺晓a，张瑞a，程秀永b，李燕a，王璐a，于瑞娜a，商丽娜a，丁璐a，高剑波c. 便携式彩色多普勒超声诊断仪对新生儿重症监护病房患儿肺不张的诊断研究[J]. 中国医疗设备, 2021, 36(5): 95-98.
HE Xiaoa，ZHANG Ruifanga，CHENG Xiuyongb，LI Yana，WANG Lua，YU Ruinaa，SHANG Linaa，DING Lua，GAO Jianboc. Study on the Diagnosis of Pulmonary Atelactasis in Neonatal Intensive Care Unit with
Portable Color Doppler Ultrasonic Diagnostic Instrument. China Medical Devices, 2021, 36(5): 95-98.
