新生儿呼吸窘迫综合征的X线诊断(附20例分析)  

X-ray Diagnosis of Neonatal Respiratory Distress Syndrome(NRDS) (An Analysis of 20 Cases)

作　　者：都继成[1] 齐兴中 李甫春[1] 周海滨[1] 

机构地区：[1]浙江省温州市第二人民医院放射科,浙江温州325000 [2]黑龙江省林业第二医院放射科

出　　处：《实用放射学杂志》2004年第11期1031-1033,共3页Journal of Practical Radiology

摘　　要：目的　增强对新生儿呼吸窘迫综合征 (NRDS)的影像认识 ,提高诊断、鉴别诊断能力。方法　收集资料完整的NRDS患者 2 0例 ,对临床及X线表现进行分析。结果　根据X线征象分级 ,2 0例中Ⅰ级 3例 ,Ⅱ级 5例 ,Ⅲ级 8例 ,Ⅳ级 4例。合并吸入性肺炎 3例 ,肺感染 4例 ,肺气漏 5例 ,肺出血 2例。典型X线表现为肺野透光度减低、肺内广泛的网状、颗粒状高密度影 ,并伴有多发的含气支气管像。Objective To improve the knowledge and diagnostic ability of imagiology of NRDS.Methods The clinical data and X-ray features in 20 cases with NRDS who had complete materials were analysed.Results According to X-ray manifestations all cases were divided into four stages:Ⅰ stage(n=3),Ⅱ stage (n=5),Ⅲ stage (n=8) and Ⅳ stage (n=4).Of them,three cases were in company with aspiration pneumonia,four cases with infective pneumonia,five cases with air leak and two cases with intra-alveolar hemorrhage.Typical X-ray features included:the pulmonary lucency decreased,wide-ranging net and grain shadowes of high density,and in companing with a lot of air bronchus sign.Conclusion X-ray plain film,especially computed radiography is the most important imaging method in diagnosis of NRDS.

关 键 词：新生儿呼吸窘迫综合征 NRDS X线表现 X线诊断 X线征象 多发 吸入性肺炎 影像 增强 高密度 

分 类 号：R722[医药卫生—儿科] R563[医药卫生—临床医学]