新生儿肺透明膜病的临床及影像分析

Clinical Imaging Findings in Neonatal with Hyaline Membrane Disease

目的:探讨新生儿肺透明膜病(HMD)的影像表现特征。方法:回顾性分析我院2000年1月至2007年12月以来收治的HMD患儿的影像表现及有关临床资料。结果:本组32例中表现为肺纹理增强2例,细小颗粒状影及网点影10例,粗颗粒状影8例,磨玻璃样改变4例,"白肺"样改变8例,其中28例可见充气支气管征。主要并发症有:肺出血10例,肺炎16例,肺不张2例,气胸2例,支气管肺发育不良1例,缺血缺氧性脑病4例,动脉导管未闭2例,急性心功能衰竭1例,坏死性肠炎1例。结论:两肺野透光度降低伴细或粗颗粒状影、支气管充气征等是本病的典型影像表现。

Objective： To improve recognition of imaging diagnosis for hyaline membrane disease （ HMD ） in neonatal. Method： We revie.wed 33 cases neonatal HMD clinical data and imaging findings from Jan. 2000 to Dec. 2007 in our hospital. Result： In all the cases the major radiographic signs of imaging findings in the disease are increased brochovascular shadows in 2 cases, fine granular spot high density shadow in 10 cases, crude granular in 8 cases, frosted glass like change of the lung fields in 4 cases, “white lung” in 8 cases,28 cases of them showed air bronchgram. The main complications was pulmonary hemorrhage in 10 cases, pneumonia in 16 cases, pulmonary atelectasis in 2 cases, pneumothorax in 2 cases, bronchopulmonary dysplasia in 1, 4 cases with hypoxic - ischemic encephalopathy,patent ductus arteriosus in 2 cases, acute heart failure in 1, necrotic enteritis in 1 case. Conclusions：The typycal imaging findings in the disease are reticulonodular I decrease lucency of lungs or fine and crude granular and air bronchgram.