pediatrics-neonatal-healthcare-2017-scientifictracks

17 / 20

Page 31
Pediatrics & Neonatal Healthcare 2017
September 11-12, 2017 Los Angeles, CA, USA
14th World Pediatrics &
Neonatal Healthcare Conference
Journal of Pediatric Health Care and Medicine Volume 1, Issue 1
Notes:
The application of lung ultrasound in the diagnosis and antidiastole of neonatal lung
diseases: The experience from China
Jing Liu1, 2, Jing-Han Chi 2, Ru-Xin Qiu1, Yue-Qiao Gao1, Jiu-Ye Guo2and Jian-Jun Li1
1Chaoyang District Maternal and Child Health Care Hospital, China
2Bayi Children’s Hospital, China
Background: Ultrasound has been used extensively for the diagnosis of lung diseases including in neonatal
intensive care unit (NICU). We have developed this technique in NICU for the diagnosis and differential diagnosis
of neonatal lung diseases since January, 2011. Till now, a total of 6184 infants were accepted more 20,000 times
lung ultrasound examinations. We found that almost all kinds of lung diseases can be diagnosed accurately by
lung ultrasound.
Methods: Generally, the diagnoses of lung diseases were based on medical history, clinical manifestation,
laboratory examination and the findings of chest radiography (CR) and/or computed tomography (CT). The
ultrasonographic features of different lung diseases were compared with above traditional findings.
Results: There were 1597 cases without lung disease and 4587 cases were diagnosed as different lung diseases,
including transient tachypnea of newborn (TTN) 1296 cases, respiratory distress syndrome (RDS) 1104 cases,
pneumonia 1056 cases, meconium aspiration syndrome (MAS) 429 cases, pulmonary atelectasis 242 cases,
pulmonary hemorrhage 107 cases, pneumothorax 86 cases, pulmonary edema 242 cases (who couldn’t be included
to other diseases), 25 infants were misdiagnosed as atelectasis in fact that they were thymus gland. Different lung
disease has different ultrasonographic characteristics, generally, however, the main signs of lung disease on LUS
were as following: pleural line abnormalities, absence of A-lines, lung consolidation with air bronchograms,
interstitial syndrome, lung sliding disappearance, lung pulse, lung point double-lung point compact B-line dan
white lung.
Conclusion: Ultrasound is advantageous in diagnosing neonatal lung diseases because of the following benefits:
low cost, easy to learn and operate, non-invasive, harmless to the human body, and suitable for ongoing
monitoring. Ultrasound is accurate and reliable and thus has an important value in guiding treatment and can
replace X-ray as the preferred imaging method of neonatal lung diseases.
Biography
Jing Liu is the Leader and the Director of the Center of Neonatal Intensive Care Unit, Beijing Chaoyang District Maternal and Child Health Care Hospital
and Bayi Children’s Hospital Affiliated With the Army General Hospital of the Chinese PLA. His research interest is neonatal critical care, his academic
positions includes the Associate Chairman of Committee of PLAAcademy of Pediatric, the Associate Chairman of Neonatal Neurologist Committee of Chinese
Neonatologist Association and Editorial Member of 20 Chinese or English Journals, etc. He has published over 260 papers as a First Author, 10 Books and
Chapters in Books. His research work has been supported by China Natural Science Foundation and China Post-doctoral Science Foundation, etc., and he has
won 12 awards for Science and Technology of The Government of China.