新生儿肺透明膜病的影像诊断分析

目的：研究和讨论新生儿肺透明膜病的影像特征，从而提高医学界对本病例的认识与诊断的能力。方法：分析以往的105例新生儿肺透明膜病X线表现的临床病例。结果：本次研究的105例对象中，有27例的新生儿表现为肺叶肺透光度下降，并且呈现了弥漫颗粒状阴影；有33例新生儿表现为肺叶透光度减低以及斑片状密度阴影；有26例新生儿出现广泛斑片状阴影、心缘和膈面模糊以及肺叶透光度明显下降；有19例新生儿肺叶都呈现了均匀的密影，这被称之为“白肺”。在这105例病例中，有24例是合并肺炎，13例是肺出血，19例为动脉导管未闭，7例为气胸，11例为缺氧缺血性脑病（HIE）。结论：新生儿肺透明膜病的影像特征表现的各种各样，当中肺纹理和磨玻璃特征被掩盖了，不能分辨出支气管充气征在此病中的具体表现特征。普通的X线检查和结合临床是诊断新生儿肺透明膜病的可靠方法。

Hyaline membrane disease diagnostic imaging analysis

Objective:To study the imaging features and discuss hyaline membrane disease,thereby enhancing the ability to recognize and diagnose medical profession on this case.Methods:105 cases of clinical cases in the past of hyaline membrane disease,X-ray findings.Results:The study of 105 cases of objects,there are 27 cases of neonatal lung lobe showed transmittance decreased,and presents a diffuse granular shadows;33 neonates showed lower lobe and patchy light transmittance density shadow;there are 26 cases of neonatal widespread patchy shadows,fuzzy heart border and diaphragm and lungs transmittance decreased;19 cases of neonatal lung have shown uniform dense shadow,it's called “white lung”.In the 105 cases, 24 cases are combined with pneumonia,13 cases of pulmonary hemorrhage,19 cases of patent ductus arteriosus,pneumothorax 7 cases,11 cases of hypoxic-ischemic encephalopathy (HIE).Conclusion:The imaging features of hyaline membrane disease in a variety of performance,which ground glass markings and features are covered up,can not distinguish the disease bronchogram in the specific performance characteristics.Common clinical and X-ray examination is a reliable method for the diagnosis of hyaline membrane disease.