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Value of Cardiopulmonary Ultrasound in the Early Diagnosis of Neonatal Respiratory Distress Syndrome |
ZHANG Qian, CHENG Lin, NING Jie, CHEN Jian, JIANG Nan |
First-author's address: Jiujiang Maternal and Child Health Hospital, Jiangxi Province, Jiujiang 332000, China |
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Abstract Objective: To explore the early diagnostic value of cardiopulmonary ultrasound in neonatal respiratory distress syndrome (NRDS). Method: A total of 113 newborns with tachypnea and suspected NRDS within 6 h after birth in Jiujiang Maternal and Child Health Hospital from March 2019 to October 2022 were selected as the research subjects. All the children underwent pulmonary ultrasound and cardiac ultrasound. With the final clinical diagnosis as the gold standard, the value of cardiopulmonary ultrasound in the early diagnosis of NRDS was analyzed. Result: Among 113 children, 79 children were diagnosed as NRDS. The sensitivity, accuracy and negative predictive value of cardiopulmonary ultrasound in the early diagnosis of NRDS were significantly higher than those in X-ray examination (P<0.05). The systolic pulmonary artery pressure (sPAP) of severe NRDS children was significantly higher than those of moderate and mild children, and the sPAP of moderate children was higher than that of mild children (P<0.05). Conclusion: Cardiopulmonary ultrasound has high sensitivity, accuracy and negative predictive value in the early diagnosis of NRDS, and cardiopulmonary ultrasound can also provide the basis for the assessment of the severity of NRDS.
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Received: 12 April 2023
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