新生儿期急性呼吸窘迫综合征的X线探讨  

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524037 [2]湛江中心人民医院儿科,广东524037

出　　处：《放射学实践》2009年第12期1367-1370,共4页Radiologic Practice

基　　金：湛江市2007年度科技攻关项目(2007C07024)

摘　　要：目的:探讨新生儿期急性呼吸窘迫综合征(ARDS)的胸部X线表现。方法:回顾性分析22例新生儿期ARDS患儿的胸部X线表现及部分复查改变。结果:足月新生儿ARDS 19例,其中肺纹理增粗、模糊伴散在中、大量斑片状影7例;肺透亮度下降,呈毛玻璃状11例;双肺弥漫斑片状渗出灶4例;支气管充气征4例;"白肺"2例;早产儿呼吸窘迫综合征(NRDS)后ARDS 3例,其中"白肺"1例,双肺弥漫斑片状渗出灶1例,大片状渗出灶1例。4例复查片,好转3例,加重1例;动态观察X线与临床、血气基本符合。结论:新生儿期ARDS的X线表现有其特点,是重要诊断指标;X线征与临床症状、血气各自反映某一阶段的表现,应各自前后对照及相互结合作出诊断。Objective：To explore the chest X-ray findings of acute respiratory distress syndrome（ARDS） in newborns.Methods： The data of 22 newborns with ARDS were retrospectively analyzed,included chest X-ray findings,and follow-up changes.Results：In 19 full-term newborns of ARDS,7 cases had increased bronchovascular shadows with patchy exudative lesions;11 cases had decreased lung radiolucency with ground-glass-appearance;4 cases had diffuse patchy exudative lesions;4 cases had air bronchogram sign;2 cases had ＂white lung＂.Three cases had ARDS after neonatal respiratory distress syndrome（NRDS） in premature infants,including 1 case of ＂white lung＂,one case of diffuse patchy exudative lesions,and one case of large area exudative lesions.Four cases had follow-up examination,and 3 cases improved on radiography,but one case aggravated.Dynamically,X-ray findings were basically identical with clinical and blood gas results.Conclusion：The X-ray manifestations of the newborns with ARDS are characteristic,and are important diagnostic indicators.X-ray findings,clinical symptoms,and blood gas reflect their performance of certain stage.

关 键 词：急性呼吸窘迫综合征 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]