高海拔地区新生儿肺出血病理与X线检查的对照观察

目的：通过病理与Ｘ线检查的对照观察，探讨新生儿肺出血病死率不仅在早产儿中占首位，也是足月儿死亡的主要原因；方法：搜集、整理我院１９９５年初－１９９９年９月１０７例新生儿肺出血病另资料，做５０例新生儿肺出血尸检，男婴３６例，女婴１４例，进行大体检查，常规石蜡切片、ＨＥ染色光镜观察等，生前均摄Ｘ光胸片；结果：临床诊断肺出血２０例（４７％），Ｘ线诊断肺出血４４例（８８％），尸检证实肺出血４３例；结论：新生儿肺出血病死率极高，明显高于平原地区，Ｘ线是早期诊断新生儿肺出血不可取代的方法。

THE CONTRAST OBSERVATION BETWEEN PATHOLOGIC AUTOPSY AND X-RAY IN NEONATAL PULMONARY HEMORRHAGE AT HIGH ALTITUDE

Objective:It is impossible to diagnose neonatal pulmonary hemorrhage(NPH)early according to the clinical manifestation.In this paper we try to show that X-ray is the best way to diagnose NPH early by the contrast observation between pathology and X-ray;Methods:We collected 107 cases of NPH from January in 1995 to September in 1998 in our hospital.Under general autopsy,paraffion insection,HE Staining,microscope,50 cases(36 females,14 males)of NPH were examined.In addition,X-ray was taken for every patient before he/she died.Results:NPH is caused by disseminated alveolar hemorrhage,which is one of the most critical diseases of newborn,The mortality of NPH is extremely higher at high altitude compared with in sea level.Among 50 cases,20 were diagnosed according to the clinical manifestation(20%),44 according to X-ray (88%),while 43 according to auto psy(86^); Conclusion:X-ray is the best way to diagnose NPH early.