新生儿肺出血的影像检查及诊断价值(附47例分析)

Evaluation of diagnosis and imaging examination of neonatal pulmonary hemorrhage

目的 探讨新生儿肺出血 (Neonatalpulmonaryhemorrhage ,NPH)的CR表现及床边胸片在新生儿肺出血诊断中的价值。方法 回顾性分析 4 7例经临床病理证实的新生儿肺出血的CR表现。结果 肺出血表现为肺野透光度减低伴肺纹理增粗 ;斑片状阴影或占据两肺或两叶以上广泛分布的斑片状阴影 ;肋间隙增宽 ;心影增大。结论 床边CR胸部摄影是NPH诊断和随访观察最有效和最可靠的方法之一 ,结合发病高危因素、临床表现和CR特点可做出NPH诊断。

Objective: To explore the value of CR diagnosis in bedside radiography for the neonatal pulmonary hemorrhage and the CR manifestations of NPH. Methods:47 cases were examined with CR, after confirmed by pathology and their manifetations were analyzed retrospectively. Results: The pulmonary hemorrhage manifested that the lower penetrance of lung fields with increase in lung markings, patch clouds or diffuse patch clouds occuping two lungs or two lobes, the increase of the intercostal space and the enlargement of the heart shadow. Conclusion: The bedside CR radiography is one of the most dependable methods to diagnose and dynamically observe the patients with NPH, an the diagnosis can be nmade together with the higher dangerous factors of disease, the clinical performances and the characteristics of CR.