[Hyaline membrane syndrome. Evaluation of sonographic criteria].
BACKGROUND
In preterm infants with hyaline membrane disease an echo increase above the diaphragm can be demonstrated by parasagittal sonography of the lower thorax using the liver or spleen as an acoustic window.


METHODS
In order to study the clinical practicability of this observation we made 145 investigations in 101 infants.


RESULTS
The ultrasonographic evidence of an increased echo above the diaphragm could be found in all 85 infants with a clinically defined hyaline membrane disease. Ultrasonographic criteria have proved to be useful and reliable in assessing the severity of hyaline membrane disease. This method is also suitable for documenting the success of surfactant administration.


CONCLUSIONS
Using sonography hyaline membrane disease can quickly be differentiated from other pulmonary diseases. Although sonography cannot serve as a substitute for chest X-ray it may be able to give valuable additional information for the differential diagnosis of respiratory disorder in the premature infant.
Neubauer
A P
AP
Kinderkrankenhaus auf der Bult, Hannover.
D016477:Artifacts; D001997:Bronchopulmonary Dysplasia / Q000145:classification / Q000000981:diagnostic imaging / Q000503:physiopathology; D006801:Humans; D006819:Hyaline Membrane Disease / Q000145:classification / Q000000981:diagnostic imaging* / Q000503:physiopathology; D007090:Image Interpretation, Computer-Assisted / Q000295:instrumentation*; D007231:Infant, Newborn; D011663:Pulmonary Surfactants / Q000008:administration & dosage; D012123:Pulmonary Ventilation / Q000502:physiology; D014463:Ultrasonography / Q000295:instrumentation*
D011663:Pulmonary Surfactants
Das Hyaline-Membranen-Syndrom. Die Beurteilung nach sonographischen Kriterien.