The diagnostic efficacy of pulmonary ultrasound,SAA/hs-CRP,and PCT in pediatric infectious pneumonia
10.3969/j.issn.1673-9701.2024.24.005
- VernacularTitle:肺脏超声与SAA/hs-CRP、PCT诊断小儿感染性肺炎的价值
- Author:
Xiaoye WANG
1
;
Xiuhua YU
;
Haili CAI
;
Xinxin SONG
;
Yuwei ZHAO
;
Tingting MENG
Author Information
1. 中国人民解放军联勤保障部队第九○三医院超声科,浙江杭州 310013
- Keywords:
Pediatric infectious pneumonia;
Pulmonary ultrasound;
Ultrasound manifestations;
Serum amyloid protein A;
Hypersensitivity C-reactive protein;
Procalcitonin
- From:
China Modern Doctor
2024;62(24):21-24,49
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the pulmonary ultrasound manifestations of pediatric infectious pneumonia and its combined diagnostic value with serum amyloid protein A(SAA)/hypersensitive C-reactive protein(hs-CRP)and procalcitonin(PCT).Methods A tatol of 107 children with infectious pneumonia admitted to the 903rd Hospital of the Joint Logistics Support Force of the People's Liberation Army of China from January 2019 to June 2023 were selected as the research group,and 50 healthy children who underwent physical examinations during the same period were selected as the control group.Both groups of children underwent lung ultrasound examination to analyze the ultrasound manifestations of children with infectious pneumonia,compare SAA/hs-CRP and PCT,and analyze the diagnostic value of lung ultrasound combined with SAA/hs-CRP and PCT detection for pediatric infectious pneumonia.Results Among 107 children with infectious pneumonia,104 were diagnosed positive by lung ultrasound,with a positive rate of 97.20％.The lung ultrasound score,SAA/hs-CRP,and PCT of the study group were higher than those of the control group(P＜0.05).The lung ultrasound score,SAA/hs-CRP,and PCT in children with severe infectious pneumonia were higher than those in mild cases(P＜0.05).The diagnostic efficacy of lung ultrasound combined with SAA/hs-CRP and PCT detection for pediatric infectious pneumonia is superior to that of individual detection,with a curve area of 0.923,sensitivity and specificity of 92.30％and 87.98％,respectively.The lung ultrasound score is positively correlated with SAA/hs-CRP and PCT(P＜0.05).Conclusion Pulmonary ultrasound can display the characteristics of pulmonary lesions in children with infectious pneumonia.The ultrasound manifestations of children are mostly abnormal pleural lines,increased B-lines,and pulmonary consolidation.Combined detection with SAA/hs-CRP and PCT can further improve the diagnostic efficiency of pediatric infectious pneumonia.
