新生儿肺透明膜病、肺出血及肺炎的X线鉴别(附150例分析)

USING X-RAY TO DISTINGUISHING HYALINE MEMBRANE DISEASE PULMONARY HEMORRHAGE AND PNEUMONIA OF THE NEWBORN WITH 150 CASES ANALYSIS

本文对确诊新生儿肺透明膜病、新生儿肺出血及新生儿肺炎各50例胸片X线表现进行分析。胸片提示肺透亮度降低、肋间隙变窄，应警惕早期肺透明膜病，需动态观察，如伴有支气管充气征诊断更有意义。如肺透亮度降低，相反肋间隙增宽，有片絮影，结合临床肺部湿罗音增多，可诊断早期肺出血。肺炎组胸片示肺透亮度增强，肺门粗乱，如有纵隔气肿，气胸等并发症更易与肺出血，肺透明膜病鉴别。

Chest X-rays have been analysed fifty cases for each disease in this paper for diagnosisnewborn hyline membrane dlseasc pneumonla of the newborn and pulmonary hemorrhage. It should be done for hyaline membran disease early and need examine regularly, and if lower disphaneity of lung and narrower space intercostal occur on the chest x-ray. If this accompanyed with air bronchogram the diagnosos would be more definitely. A diagnosis of pulmonary hemorrhage early can be made, if lower disphaneity, wider space intercostal, patchy infiltration appeared on the chest x-rays. The chest x-rays of pneumonia group shows interrsifing diaphancity. if the group suffer from mediastinal emphysema pneumothorax complications, then it is easier to distinguish pneumonia of the newborn from pulmonary hemorohage and hyaline membrane disease