新生儿肺透明膜病的X线征象分析  

X-ray Diagnosis of Neonatal Hyaline Membrane Disease

作　　者：游剑雄[1] 陈建勇[2] 韦雄[1] 邓军[1] 许明[1] 王育[1] 蔡琛[1] 陈征[1] 梁春杰[3] 

机构地区：[1]湛江中心人民医院放射科,广东524037 [2]湛江市妇幼保健院,广东524000 [3]湛江中心人民医院儿科,广东524037

出　　处：《放射学实践》2008年第7期803-805,共3页Radiologic Practice

基　　金：湛江市2007年度科技攻关项目课题(2007C07024)

摘　　要：目的:探讨新生儿肺透明膜病的X线征象及其诊断和鉴别诊断价值。方法:31例经临床确诊且有完整胸片资料的新生儿肺透明膜病,回顾性分析其X线征象,并以同期其它新生儿肺病39例作为对照组.进行统计学分析。结果:新生儿肺透明膜病组患儿肋间隙宽度(4.4±0.6)mm.小于其它新生儿肺病患者,差异有显著性意义(P<0.05);两组患儿膈面位置的差异无显著性意义(P>0.05)。病变组肺野内细小颗粒、网状影出现率51.6%,毛玻璃影出现率80.6%。支气管征出现率61.3%,白肺出现率12.9%,均明显高于对照组,差异有显著性意义(P<0.05);这4种征象诊断新生儿肺透明膜病的特异度和阳性预测值达80%～100%。结论:新生儿肺透明膜病的胸片X线表现有一定特征性,其诊断及鉴别诊断价值很高。Objective： To study the value of radiography in the diagnosis of neonatal hyaline membrane disease （HMD）, Methods：The X-ray findings of 31 newborns with clinically diagnosed HMD were retrospectively analyzed and compared with that of 39 newborns with other pulmonary diseases, statistic analysis was undertaken. Results： The width of intercostal space of HMD （4.4 ± 0. 6）mm was significantly less than that of the control group, with significant statistical difference （P〈0. 05）, When concern about the position of diaphragm, no statistic difference was found between the two groups, For HMD, the incidence of small nodular or reticular opacities was 51.6 %, of ground-glass infiltrates was 80.6 %, air-bronchogram sign was 61, 3 %, ＂white lung＂ was 12.9 %, all of them were higher than the control group, showing significant statistical difference （P〈0. 05）. The specificity and positive predicative value of these 4 features in the diagnosis of HMD was 80 % - 100 %. Conclusion：Characteristic X-ray appearancs could be assessed in HMD, which were very helpful in the diagnosis and differential diagnosis of neonatal pulmonary diseases.

关 键 词：透明膜病 肺疾病 新生儿 放射摄影术 

分 类 号：R722.1[医药卫生—儿科] R816.92[医药卫生—临床医学]