新生儿呼吸窘迫综合征87例X线胸片分析

目的 探讨X线胸片对新生儿呼吸窘迫综合征(NRDS)的诊断价值.方法 选取NRDS患儿87例,采用菲利浦Pracelx100型移动X线机床边摄片,对确诊NRDS的患儿进行记录,筛选经X线胸片复查的患儿进行整理分析.参考NRDS影像学诊断标准,根据肺野透光度减低和支气管充气征的程度对病情进行分级.结果 一级20例,二级35例,三级28例,四级4例.局限性粟粒阴影15例；肺野透光度减低60例,51例呈现毛玻璃样改变及支气管充气征；4例出现“白肺”.结论 X线胸片对NRDS的诊断、鉴别诊断及预后判断具有重要价值.

Analysis of chest X-ray in 87 cases of neonatal respiratory distress syndrome

Objective To explore the diagnostic value of chest X-ray in neonatal respiratory distress syndrome. Methods 87 children with NRDS were selected. Then bedside radiography was conducted with the Philip Pracelx100 mobile X-ray machine, and the children with confirmed NRDS were recorded, and the children screening by chest X-ray review were analyzed. Referenced the NRDS image diagnostic criteria,the disease grading was carried out according to the lung field light transmission reduction and air bronchogram extent. Results 20 cases in the first grade,35 cases in the second grade,28 cases in the third grade,4 cases in tire fourth grade. Limitations of miliary shadows in 15 cases ;60 cases of impaired lung field transmittance,51 patients presented with ground-glass change and air bronchogram ;4 cases in ＂ white tung＂. Conclusion Chest X-ray for NRDS had important value of diagnostic, differential diagnostic and prognosis.