新生儿肺透明膜病的X线征象和临床分析  

Analysis of clinical and X-ray manifestations for neonatal pulmonary hyaline membrane disease

作　　者：张静 张翼 代勤 张婧婧 杨军乐[2] 

机构地区：[1]西北妇女儿童医院医学影像中心,陕西西安710002 [2]西安市中心医院

出　　处：《实用放射学杂志》2015年第12期2010-2012,2065,共4页Journal of Practical Radiology

摘　　要：目的 探讨新生儿肺透明膜病（HMD）X线影像特征、临床危险因素及表现，提高诊断准确率。方法 对36例确诊HMD患儿的X线影像特征及临床资料进行回顾性分析。结果 X线胸片示HMDⅠ级7例，Ⅱ级11例，Ⅲ级12例，Ⅳ级6例，X线特征性表现为两肺广泛细小点状磨玻璃样密度增高影和支气管充气征。同时胎龄、体重、生产史是重要的临床诊断要素。结论 胸部X线平片是HMD重要、可靠的诊断方法，其影像表现具有特征性，尤其对于足月儿，结合临床病史及危险因素，动态观察，对临床早期诊断、治疗及改善预后有重要作用。Objective To explore X-ray and clinical features of neonatal pulmonary hyaline membrane disease （HMD）. Methods The chest X-ray film and clinical data of 36 cases with neonatal pulmonary HMD were retrospectively analyzed. Results There were 7 cases in degree Ⅰ ,11 cases in degree Ⅱ , 12 cases in degree Ⅲ , and 6 cases in degree Ⅳ on the chest X-ray film. The X-ray features included diffused tiny ground-glass opacities and air bronchogram in the bilateral lung fields. The conceptus age, body weight, parturition history of the newborns were also important diagnosis factors. Conclusion X-ray examination is an important and reliable method to diagnose the HMD, and the X-ray manifestations were characteristic. Especially for the term infants, the chest X-ray film combined with the clinical history and dynamic observation has important role for the early diagnosis, treatment and prognosis improvement.

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] R814.41[医药卫生—临床医学]