床边CR胸片在新生儿肺透明膜病诊断中价值  

Value of bedside chest CR to the diagnosis of hyaline membrane disease in neonates

作　　者：赖伟[1,2] 刘建新[1,2] 林晓平[3] 张玉辕[1,2] 林春红[1,4] 梁康炎[1,2] 曹洁玉[1,2] 

机构地区：[1]广东医学院附属石龙博爱医院 [2]东莞市石龙博爱医院放射科,广东省东莞市523325 [3]中山大学肿瘤防治中心核医学科,广州市510060 [4]东莞市石龙博爱医院手术室,广东省东莞市523325

出　　处：《中华实用诊断与治疗杂志》2013年第2期142-143,146,共3页Journal of Chinese Practical Diagnosis and Therapy

摘　　要：目的探讨床边CR胸片诊断新生儿肺透明膜病及对临床治疗效果评价的意义。方法回顾性分析39例经临床证实的新生儿肺透明膜病患儿临床及影像学资料,分析其胸部CR表现特征。结果 39例新生儿肺透明膜病中Ⅰ级9例表现为双肺透亮度减低并弥漫性分布的细颗粒影;Ⅱ级11例表现为双肺呈磨砂玻璃样改变并支气管充气征;Ⅲ级12例表现为肺透亮度降低更明显,支气管充气征更明显并心膈影模糊;Ⅳ级7例,为"白肺"样改变;合并肺出血3例,肺炎6例,气胸3例,新生儿缺氧缺血性脑病2例。结论床边CR胸片是诊断新生儿肺透明膜病的首选检查方法,对其诊断及病情动态观察有重要价值。Objective To explore bedside chest CR in the diagnosis of hyaline membrane disease （HMD） in neonates and the significance in the evaluation of therapeutic effect. Methods The clinical data and CR features in 39 cases of clinically proved HMD were analyzed retrospectively to study the chest CR features. Results In these 39 cases, 9 cases were in stage I with less transparency and fine particles diffusely, 11 cases were in stage Ⅱ with frosted-glass sign and air bronchogram, 12 cases were in stage Ⅲ with more less transparency, air bronchogram and blur heart diaphragm imaging, and 7 cases in stage Ⅳ with white lung sign. Of the 39 cases, 3 cases were complicated with intra-alveolar hemorrhage, 6 cases with pneumonia, 3 cases with pneumothorax, and 2 cases with neonatal hypoxic ischemic encephalopathy. Conclusion Bedside chest CR is the first choice for HMD, and plays an important role in the diagnosis and dynamic observation of HMD.

关 键 词：新生儿 肺透明膜病 计算机X线摄影 诊断 

分 类 号：R722.12[医药卫生—儿科]