肺部超声在孕妇社区获得性肺炎诊断中的价值

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1、万方数据浙江大学硕士学位论文中文摘要值0．862，说明与X线胸片的一致性好。结论：肺部超声与x线胸片诊断孕妇社区获得性肺炎的一致性较好，超声检查具有无辐射、方便易行、可重复的特点，适用于于对疑似肺炎的孕妇的诊断，值得进一步研究。关键词：肺脏超声；社区获得性肺炎；诊断；妊娠IV万方数据浙江大学硕士学位论文英文摘要PrimarystudyondiagnosisofcommunityacquiredpneumoniabylungultrasoundinthepregnantpatientsObjective：ZhejiangUniversitySchoolofMedi

2、cineZHAOXueSupervisorZHANGMaoAbstractThediagnosisofcommunityacquiredpneumonia(CAP)isusuallybasedonclinicalmanifestations，whitebloodcellcountandchestX—ray．Lungultrasoundaretypicallynotincludedinthediagnosticwork—upofCAPwithpregnancy．Recently，ultrasoundshavebeenusedextensivelyandsucces

3、sfullyinthediagnosisofmanykindsoflungdiseases，butfewstudiesofCAPwithpregnancy．ThisstudyaimedtoevaluatethevalueoflungultrasoundinthediagnosisofCAPwithpregnancyMethod：It’Saprospectivestudyallowedbytheethicalcommitteeandpatients’relativesFromJanuary1sttoSeptember30in2014，patientswithges

4、tationalage>4weekswhoadmittedtotheEmergencyDepartmentwereenrolledinthisobservationalanddiagnosticstudy．45pregnantpatientssuspectedpneumoniaonthepremiseofinformedconsent，24hoursafteradmissionadeptchestX-ray,lungultrasoundandbloodroutineexamination．X—raychestradiographyinspectionisrepo

5、rtbyqualifiedradiologistsandV万方数据浙江大学硕士学位论文英文摘要lungultrasoundbytrainedemergencyphysiciansorhadqualificationsofmedicalultrasoundcheck．UltrasoundinspectorswouldnotbetoldtoXchestX-rayreport．Theultrasoundreportwouldnotbeinformedpatient’Sdoctoranddoesnotaffecttheclinicaltreatmentdecisions

6、．Quietcondition，patientswithpregnancytakelieonherback，sideorsittingposition．Withaxillaryfront，axillarymidline，afteraxillarylineisbounded，thelungisdividedintofrom，sideandbackthreeregions．Theprobeandverticalribsrespectivelyobservedeachareaofbilaterallungscan，whetherthereisconsolidation

7、ofthelung，A-linedisappear,themickleB·lineappearanceandlungpulse．Throughtheclinicalsymptoms，imaging，laboratoryexaminationandtreatmenteffectCAPwereconfirmedbytwoclinicalcompetentphysicians．Thelungultrasoundimagingcharacteristicswasanalyzedinthepregnantpatientswithpneumonia．DrawingROCcu

8、rvebySPSS19．