新生儿围生期肺炎110例X线征象分析

Analysis on X-ray of Neonate Pneumonia

目的探讨新生儿围生期肺炎X线主要征象和临床特点。方法对2005-05~2007-10在我院住院,有完整病历,并摄有X线胸片的新生儿围生期肺炎患儿110例的临床资料,进行回顾分析。结果临床有典型症状的9例,剖宫产35例,X线表现为病灶影13例,占11.8%;肺纹理增多和(或)肺门模糊103例,占93.6%;急性肺膨胀症18例,占16.3%;支气管气相8例,占7.2%;心后影征13例,占11.8%,上纵隔、心缘和(或)横膈模糊征88例,占80%;肺门淋巴结肿大2例,占1.8%。结论新生儿围生期肺炎,临床症状和体征不典型,而胸部平片X线征象明显。因此,胸部X线平片是诊断新生儿围生期肺炎可靠的辅助诊断依据。

Objective To discuss the main X-ray signs and clinical manifestations of neonate pneumonia.Methods The clinical materials of 110 cases of such patient from May 2005 to October 2007 in our hospital were analyzed retrospectively.Results There were typical symptoms in 9 cases and U-D in 35 cases.There were focus lesion in X-ray in 13 cases,rich lung marking and obscure hilus in 103 cases,acute expand in 18 cases,bronchial phase in 8 cases,post heart sign in 13 cases and obscure in mediastinum in 88 cases.Concl...