床边CR在支气管肺发育不良诊断中的应用  

Application of Bedside Computerd Radiography in the Diagnosis of Broncho-pulmonary Dysplasia

作　　者：赵乐勇 马捷 吴永朝 于江波 臧达 

机构地区：[1]暨南大学第二临床医学院,深圳市人民医院放射科,广东518020

出　　处：《放射学实践》2009年第1期36-38,共3页Radiologic Practice

基　　金：深圳市重点医学专科项目(297182)

摘　　要：目的:探讨床边CR在支气管肺发育不良(BPD)中的应用。方法:搜集BPD患儿21例,首次诊断BPD时间4～32 d。原发病诊断:肺透明膜病13例,胎粪吸入综合症3例,新生儿肺炎2例,极低体重儿2例(有呼吸暂停史、体重低于1500 g),21三体综合征1例。所有患儿均接受吸氧或正压机械通气治疗。结果:双肺毛玻璃样改变2例,局限性肺组织实变并支气管气相3例,单发囊状透光区11例,蜂窝肺2例,21三体综合征1例,气胸、纵隔气肿各1例。结论:床边CR是诊断BPD有效的影像学方法,严格执行投照规程,可提高诊断符合率。Objective：To study the application of bedside computed radiography （CR） in the diagnosis of bronchopulmonary dysplasia （BPD）. Methods： 21 neonatal patients with BPD were collected. The initial diagnosis of BPD was made at the time of 4d to 32d. The primary diagnosis were as follows：hyaline membrane disease （13 patients）,meconium aspiration syndrome （3 patients）, neonatal pneumonia （2 patients） newborn with extremely low body weight and accompanied with history of apnea as well as body weight lower than 1500g （2 patients）,Patau syndrome （1 patient）. All the patients had oxygen inhalation or mechanical positive pressure ventilation treatment. Results： The radiographic findings included bilateral pulmonary ground glass opacities （2 patients）, focal pulmonary consolidation with air bronchiogram （3 patients）, solitary pulmonary cystic transparent area （11 patients）, honeycomb lung （2 patients）, Patau syndrome （1 patient）, pneumothorax and mediastinal emphysema for one patient each. Conclusion： Bedside computed radiography is a useful imaging modality in the diagnosis of BPD,the accuracy of imaging diagnosis can be improved by the application of high quality computed radiography.

关 键 词：婴儿 支气管肺发育不良 体层摄影术 X线计算机 

分 类 号：R816.92[医药卫生—放射医学] R725.6[医药卫生—临床医学]