新生儿肺气漏的X线动态观察分析  

Pulmonary Air Leak in Neonates：Follow-up by Serial Radiography

作　　者：何来昌[1] 龚洪翰[1] 曾献军[1] 裴莉[1] 潘志明[1] 舒虹[1] 

机构地区：[1]南昌大学第一附属医院影像科,江西南昌330006

出　　处：《实用放射学杂志》2009年第11期1632-1634,共3页Journal of Practical Radiology

摘　　要：目的 探讨X线对新生儿肺气漏的动态演变观察价值。方法回顾性分析16例新生儿气漏的临床及X线资料。结果肺间质气肿12例，纵隔气肿9例，气胸10例，皮下气肿5例；7例肺间质气肿、纵隔气肿与气胸并存，且2例伴有皮下气肿；2例肺间质气肿同时兼有纵隔气肿，3例肺间质气肿伴气胸，其中3例伴皮下气肿。结论X线检查是诊断新生儿肺气漏的主要手段，X线动态观察可了解肺气漏的部位、类型、范围、程度及扩散途径，对临床治疗具有重要的应用价值。Objective To evaluate the value of serial X-ray in following-up pulmonary air leak in neonates. Methods The clinical and radiographic findings of 16 cases of neonate pulmonary air leak were reviewed. Results There were pulmonary interstitial emphysema in 12 cases, pneumomediastinum in 9 cases, and pneumothorax in 10 cases, subcutaneous emphysema in 5 cases. Pulmonary interstitial emphysema combined with pneumomediastinum and pneumothorax were in 7 cases, and 2 cases combined with subcutaneous emphysema. Pulmonary interstitial emphysema combined with pneumomediastinum in 2 cases, with pneumothorax in 3 cases and with subcutaneous emphysema in 3 cases. Conclusion The serial X-ray observation is valuable for most of pulmonary air leaks in neonates, which can show all kinds of air leaks and provide more correlative informations,and is of significance in guiding the clinical treatment.

关 键 词：新生儿 肺气漏 X线摄影 

分 类 号：R722.1[医药卫生—儿科] R563[医药卫生—临床医学]