X线与CT诊断新生儿气胸临床研究

目的：研究诊断新生儿气胸时X线及CT检查方法的临床应用价值。方法：选择嘉兴市妇幼保健院2009年8月-2012年8月间120例出现气胸的新生儿患者,所有患儿均拍摄了胸部前后仰卧位X线片,116例患儿随后又进行多次胸片随访,其中20例患者还进行了胸部CT扫描。结果：进行X线检查得出41侧为少量气胸,22例需要外科引流术或者穿刺抽气;79例有多量气胸,其中71例需要进行外科处理。结论：新生儿气胸进行前后仰卧位X线胸片基本可以满足临床诊断的需要,但如果仅为一侧肺野透过度增强,膈面和心缘非常清晰锐利,则可诊断为多量气胸,对于该类患者,应用CT影像学检查可以增加诊断准确性。

Clinical application value of X-ray and CT examination for neonatal pneumothorax

Objective To study the clinical application value of neonatal pneumothorax X-ray and CT examination.Methods A hundred and twenty cases of neonatal pneumothorax treated in Jiaxing Hospital of Maternal and Child Care from August 2009 to August 2012 were chosen,all of whom had supine anteroposterior chest X-ray examination.Among them 116 cases were followed up by repeated X-ray examination,and 20 patients also had a chest CT scanning.Results The X-ray examination showed that there were 41 cases of mild pneumothorax,22 of which needed surgical drainage or puncture pumping,and 79 cases of severe pneumothorax,71 of which needed surgical treatment.Conclusions X-ray examination for neonatal pneumothorax in supine position can satisfy the need of clinical diagnosis.If there is enhanced permeability in one side lung field and clear and sharp diaphragmatic surface and margin,severe pneumothorax can be diagnosed.For these patients,additional application of CT imaging examination can increase the diagnostic accuracy.