新生儿期急性呼吸窘迫综合征的临床与X线探讨  

Clinical and X-ray findings of acute respiratory distress syndrome in newborns

作　　者：游剑雄[1] 韦雄[1] 陈文瑞[1] 邓军[1] 许明[1] 王育[1] 蔡琛[1] 陈征[1] 梁春杰[2] 

机构地区：[1]湛江中心人民医院放射科,广东省524037 [2]湛江中心人民医院儿科,广东省524037

出　　处：《中国临床新医学》2009年第8期788-791,共4页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

基　　金：湛江市科技攻关项目(项目编号:2007C07024)

摘　　要：目的探讨新生儿期急性呼吸窘迫综合征（ARDS）的临床与胸部X线表现。方法回顾性分析14例新生儿期ARDS患儿的胸部x线表现、部分复查改变以及临床症状、血气表现等资料。结果肺透亮度下降，呈毛玻璃状10例；双肺弥漫斑片状渗出灶4例；大片状渗出灶1例，支气管充气征5例；“白肺”3例；伴发肺气肿12例；3例复查x线片，好转2例，加重1例；早产儿呼吸窘迫综合征（NRDS）后ARDS3例；X线与临床表现、血气分析结果基本符合。结论新生儿期ARDS的x线表现有其特点，是重要的临床诊断指标；X线征与临床症状、血气测定结果各自反映某一阶段的病情与特征，应前后结合进行对照分析。Objective To explore the chnical manifestations and chest X-ray findings of acute respiratory distress syndrome （ARDS） in newborns. Methods The data of 14 newborns with ARDS were retrospectively analysed, the data included chest X-ray findings, change in part of the review, clinical symptoms, and blood gas performance. Results X-ray findings included lung permeability decreased brightness, with ground-glass-shaped in 10 cases ; lungs diffuse pacth exudative lesions in 4 cases of; large sheet exudative lesions in 1 cases, bronchial inflatable sign in 5 cases; ＂white lung＂ in 3 cases ; of 3 cases which were reviewed, improvement of the performance in 2 cases, increase in the 1 cases; and X-ray findings was basically identical with clinical and blood gas findings. Conclusion The X-ray manifestations of the newborns of ARDS has its own characteristics, is an important diagnostic indicators ; X-ray findings, clinical symptoms, and blood gas reflects their performance of a certain stage, therefore, the pre-and post centrol and their combination was important to the diagnosis of ARDS.

关 键 词：新生儿 急性呼吸窘迫综合征 放射摄影术 

分 类 号：R722.12[医药卫生—儿科]