计算机X线床旁摄影诊断新生儿气胸漏诊误诊原因分析  

ANALYSIS OF CR BEDSIDE RADIOGRAPHY DIAGNOSIS OF NEONATAL PNEUMOTHORAX MISDIAGNOSIS REASON

作　　者：李亚超[1] 王伟强[1] 李亭亭[1] 何兴宇 

机构地区：[1]冀中能源峰峰集团有限公司总医院北院区放射科,河北省邯郸市056201 [2]冀中能源峰峰集团有限公司总医院北院区新生儿科,河北省邯郸市056201

出　　处：《中国煤炭工业医学杂志》2013年第11期1893-1894,共2页Chinese Journal of Coal Industry Medicine

摘　　要：目的分析计算机X线(CR)床旁摄影诊断新生儿气胸漏诊误诊原因。方法回顾分析13例新生儿气胸漏诊误诊表现和CR床旁胸片。结果新生儿气胸CR床旁摄影漏诊误诊原因主要为体外衣物及皮肤皱褶与肺组织重叠造成假象、体位不正致假阳性表现、床旁X线机投照伪影、阅片者未认真调整窗宽窗位进行观察。结论详细结合临床体征、提高新生儿气胸诊断水平、投照时摆正体位尽量去除衣物、注重床旁X线机的日常维护、充分利用CR技术数字化图像特点等措施可有效减少新生儿气胸误诊漏诊。Objective To analyze the misdiagnosis reasons of CR bedside radiography diagnosis of neonatal pneumothorax. Method A retrospective analysis was performed for 13 neonatal pneumothorax misdiagnosis bedside chest X- ray manifestations of CR. Results The results showed that false overlap caused by clothing and skin folds and lung tissue, false positive findings caused by not straight posture, bedside X- ray machine projection artifacts, readers not to adjust the window width and window level were the reasons of misdiagnosis of neonatal pneumothorax CR bedside photography. Conclusion With clinical signs, improving neonatal pneumothorax diagnosis level, projection when adjust postures to remove clothing, paying attention to bedside X- ray machine maintenance, making the use of the technique of CR digital image features are effective measures to reduce the misdiagnosis and missed diagnosis Of neonatal pneumothorax.

关 键 词：新生儿气胸 CR床旁摄影 漏诊 误诊 

分 类 号：R816.92[医药卫生—放射医学]