新生儿肺炎临床与X线相关性探讨  

Study on the relativity of the clinical manifestation and radiologic findings of neonatal pneumonia in perinatal period

作　　者：李小晶[1] 宋燕燕[1] 刘莎[1] 陈伏初[2] 

机构地区：[1]广州市妇婴医院儿科,510180 [2]广州市妇婴医院放射科,510180

出　　处：《广州医药》2008年第1期61-63,共3页Guangzhou Medical Journal

摘　　要：目的了解新生儿肺炎的临床表现、体征、围产史与X线表现的关系。方法回顾性分析247例新生儿肺炎及母亲围产史资料。结果新生儿肺炎以右下肺感染为主要X线表现,胎粪吸入性肺炎者X线表现以间质性肺炎为主;临床上发绀、气促是最常见的表现;早破膜、羊水浊与X线表现符合率较高,均以右下肺感染为主;而肺部体征与X线表现常不一致。结论当临床出现发绀、气促等表现或围生期有早破膜、羊水浊、母亲孕期感染而肺部体征阴性时,X线检查是十分必要的方法。Objective To find out the relationship of perinatal history, clinical manifestation and radiologic findings of neonatal pneumonia in the period of peripartum. Methods To retrospectively analyse the data of the clinical manifestation, radiologic findings and perinatal factors of 247 cases neonatal pneumonia. Results The most common radiographic appearance of neonatal pneumonia was infiltrate in fight lower lobe and of meconium aspiration pneumonia is interstitial infiltration. The major clinic manifestations were cyanotic and tachypnea. Premature rupture of membrane and the amniotic fluid cloudy were more consistent with the radiologic findings. Both involve the right lower lobe. But the pulmonary sign was often not consistent with the radiologic appearance. Conclusion While a newborn presents with such clinical symptoms as cyanosis and tachypnea or perina- tal factors as premature rupture of membrane, the amniotic fluid cloudy and the mother suffered from infection but a negative pulmonary sign to take a chest radiograph is extremely necessary.

关 键 词：围产期 新生儿肺炎 X线表现 

分 类 号：R722.1[医药卫生—儿科]