GIÁ TRỊ CỦA SIÊU ÂM TRONG CHẨN ĐOÁN VIÊM PHỔI CÓ BIẾN CHỨNG Ở TRẺ EM

Abstract

Objectives: To determine the value of lung ultrasound in the diagnosis of complicated pneumonia in children (compared with CT scan as the diagnostic gold standard). Subjects and methods: The pediatric patients who were diagnosed with pneumonia at the Respiratory Department and other departments at Children's Hospital I - Ho Chi Minh City from September 2018 to September 2018. 7/2019. Methods: Retrospective combined prospective study (case description). Comparing the diagnostic results of ultrasound with CT scan as the diagnostic gold standard. Results: Ultrasound in the diagnosis of complicated pneumonia has high sensitivity and specificity (94.3% and 75%). The sensitivity and specificity of ultrasound in the diagnosis of each type of pneumonia complication is high: pleural effusion (sensitivity: 95%, specificity: 93.3%), pneumothorax (sensitivity: 95%, specificity: 93.3%, specificity: 100%), atelectasis (sensitivity: 95.7%, specificity: 100%) and necrotizing pneumonia (sensitivity: 93.3%, specificity: 100%). Conclusion: Lung ultrasound is a non-invasive imaging tool with high economic value compared to other imaging methods such as chest x-ray, computed tomography, magnetic resonance imaging.