新生儿肺透明膜病60例床旁X线胸片分析  

Bedside chest X-ray analysis of pulmonary hyaline membrane disease in 60 newborns

作　　者：余静华[1] 戴世明 陈金华[1] 王晓峰[1] 严景恩[1] 旷连勤[1] 

机构地区：[1]第三军医大学大坪医院野战外科研究所放射科,重庆400042 [2]南桐矿业公司总医院红岩分院,重庆万盛400802

出　　处：《重庆医学》2010年第1期48-49,52,共3页Chongqing medicine

摘　　要：目的探讨新生儿肺透明膜病(HMD)的床旁胸部X线表现和质量控制,提高对该病的影像诊断水平,指导临床早期治疗。方法根据X线诊断及分级标准,回顾性分析经临床证实60例新生儿肺透明膜病的床旁胸部X线表现。结果床旁X线胸片上,Ⅰ级病变(仅有小颗粒状阴影的轻微改变)8例,Ⅱ级病变(较大密集颗粒阴影,可见充气支气管征)19例,Ⅲ级病变(病变进一步加重,肺野呈磨玻璃样,心膈模糊不清)27例,Ⅳ级病变(肺野普遍密度增高,称之为"白肺")6例。结论床旁X线胸片对肺透明膜病的诊断具有很高的价值,对临床治疗方案的制订具有一定的指导意义。Objective To explore the bedside chest X ray characteristics and imaging quality control of neonatal pulmonary hyaline membrane disease,and to promote the ability level of imaging diagnosis with this disease and guide clinical early treatment. Methods Bedside chest X-ray films from 60 patients with neonatal pulmonary hyaline membrane disease were retrospectively analyzed according to X ray diagnostic and grading criteria. Results In the bedside chest X ray films, Ⅰegree changes（reticular chan- ging and small granular opacities） in 8 cases, Ⅱ degree changes（comparatively large and coaretate granular opacities with or without aerial bronchogram） in 19 cases, Ⅲdegree changes（ground-glass opacity of lung field with cardiac border and diaphragmatic face hazy） in 27 cases and Ⅳ degree changes（generally opacity of lung field with cardiac and diaphrapgmatic shadows disappear,socalled ＂white lung＂） in 6 eases. Conclusion The bedside chest X ray radiography is a useful imaging lool for the diagnosis of neonatal pulmonary hyaline membrane disease,and it can be made for the selection of treatment plans in clinic.

关 键 词：新生儿 肺透明膜病 放射摄影术 

分 类 号：R722.12[医药卫生—儿科] R814.4[医药卫生—临床医学]