小儿肺透明膜病的X诊断

目的:探讨新生儿肺透明膜病的X线表现特征。方法:回顾性分析经临床及病理证实的24例新生儿肺透明膜病的X线表现。结果:本组24例中2例肺野可显示网格及斑点状密度增高阴影,21例表现为肺野透光度减低,1例仅表现肺纹理增强。其中16例可见空气支气管征。本组合并肺出血6例,合并动脉导管未闭5例,并发气胸1例。结论:X线检查是诊断新生儿肺透明膜病的主要方法。胸片显示肺野透光度减低、“白肺”及空气支气管征,结合临床,可作出较明确的诊断。

X-ray Diagnosis of Pulmonary Hyalin Membrane Disease of Newborn

Objective To study the X ray diagnosis values of pulmonary hyalin membrane disease of newborn (PHMD).Methods The patients with PHMD (n=24) were reviewed in this study.All cases were confirmed by clinic or pathology.Results The X ray signs were including reticular and mottling focus (n=2),decrease transmittance of lung field (n=21),pulmonary markings thickening only (n=1),air bronchogram (n=16),complicating pulmonary hemorrhage (n=6),complicating patent ductus arteriosus (n=5) and complicating pneumothorax (n=1).Conclusion X ray was most important to the diagnosis of PHMD. The diagnosis of PHMD could be made by the clinical manifestation and the X ray signs of decrease lung field transmittance,“white lung”,air bronchogram.