临床医学研究与实践2023年3月第8卷第7期ComparisonofthediagnosticvalueofpulmonaryultrasoundandbedsidechestX-rayinelderlypatientswithcommunity-acquiredpneumoniaCHENDong1,SUNPeipei2*(1.Xi'anDaxingHospital,Xi'an710016;2.Xi'anInternationalMedicalCenterHospital,Xi'an710100,China)ABSTRACT:ObjectiveTocomparethediagnosticvalueofpulmonaryultrasoundandbedsidechestX-rayinelderlypatientswithcommunity-acquiredpneumonia(CAP).MethodsAtotalof98elderlypatientswithsuspectedCAPadmittedintheintensivecareunitofourhospitalfromFebruarytoMay2021wereselectedastheresearchobjects.Allpatientsunderwentpulmonaryultrasound,bedsidechestX-rayandcomputedtomography(CT)examination.TheCTdiagnosisresultwasusedasthegoldstandard,thediagnosticefficacyofpulmonaryultrasoundandbedsidechestX-rayandthedetectionrateoflobarpneumonia,lobularpneumoniaandinterstitialpneumoniawerecompared.ResultsThesensitivity,specificity,positivepredictivevalue,negativepredictivevalueandaccuracyofpulmonaryultrasoundinthediagnosisofCAPwerehigherthanthoseofbedsidechestX-ray(P<0.05).Therewasnosignificantdifferenceinthedetectionrateoflobarpneumonia,lobularpneumoniaandinterstitialpneumoniabetweenpulmonaryultrasoundandbedsidechestX-ray(P>0.05).BedsidechestX-raysonogramshowedthickenedlungtextureandpatchyhighechoshadow,whichwasinflammatoryexudation;theimagewasintuitiveandthree-dimensional,butthetwo-dimensionalimagehadlowresolutionandpoorclarity.PulmonaryultrasoundshowedmultipleBlines,lungconsolidation,lungconsolidationareaandairbronchogram,whichwereinflammatorychangeswithhighresolutionandgoodimagequality.ConclusionThepulmonaryultrasoundforelderlyCAPhasbetterdiagnosticefficiencythanbedsidechestX-ray.Itischeap,portableandhasahighdetectionrateoflobarpneumonia,lobularpneumoniaandinterstitialpneumonia,whichcanbeusedasthefirstchoiceforthediagnosisofCAPintheelderly.KEYWORDS:pulmonaryultrasound;bedsidechestX-ray;elderlypatient;community-acquiredpneumonia肺部超声与床旁胸部X线在老年社区获得性肺炎中的诊断价值比较陈冬1，孙佩佩2*（1.西安大兴医院，陕西西...
