新生儿肺透明膜病及其并发症的影像学分析  

Analysis of Neonatal Hyaline Membrane Disease and its Complications Imaging

作　　者：裴长志 林华云 邓文杰 黄新宇 

机构地区：[1]河源市妇幼保健院,广东河源517000

出　　处：《中国医药指南》2013年第35期150-151,共2页Guide of China Medicine

摘　　要：目的探讨新生儿肺透明膜病及其并发症的影像学表现,旨在提高对本病及并发症的早期诊断水平。方法回顾性分析经临床或病理证实的106例新生儿肺透明膜病及其并发症的X线、CT、B超表现。结果本组106例中,新生儿肺透明膜病分级Ⅰ级23例,Ⅱ级55例,Ⅲ级20例,Ⅳ级8例,并发症69例,其中动脉导管开放34例,肺炎40例,新生儿缺氧血性脑病13例,肺出血9例,气漏11例,肺发育不良3例,结论大部分新生儿肺透明膜病及其并发症运用动态X线片结合临床可明确诊断,合理应用CT和B超及时发现其并发症,有助于临床实施正确的救治措施,对预后评估具有重要的指导性价值。Objective Manifestations of neonatal hyaline membrane diseaseand its complications image, to improve the early diagnosis of this disease and its complications. Methods Retrospective analysis of the clinic and pathology of 106 cases of neonatal pulmonary hyaline membrane diseaseand its complications, CT, B ultrasound manifestations of X-ray. Results Among the 106 cases, neonatal hyaline membrane disease grade Ⅰ in 23 cases, 55 cases of grade Ⅱ, 20 cases in grade Ⅲ, Ⅳ 8 cases, complications occurred in 69 cases, including 34 cases ofpatent ductus arteriosus,40 cases of pneumonia, neonatal hypoxic ischemicencephalopathy in 13 cases, 9 cases of pulmonaryhemorrhage, gas leakage in 11 cases, pulmonarydysplasia in 3 cases. Conclusions The majority of neonatal hyaline membrane disease and its complications by dynamic X-ray combined with clinicaldiagnosis, reasonable application of CT and B-mode ultrasonography to detect its complications, contribute to the clinical practice of treatment measures to correct, have important guiding value on the evaluation of prognosis.

关 键 词：新生儿 肺透明膜病 并发症 影像学 

分 类 号：R722.1[医药卫生—儿科]