新生儿湿肺临床与影像分析

Clinical and Imaging Analysis of Wet Lung Disease of Neonatal

目的：探讨新生儿湿肺的临床及X线特点,以提高正确诊断率.方法：对本院临床及X线资料完整的30例新生儿湿肺患儿进行临床、X线征象分析.结果：呼吸困难、青紫、呻吟是新生儿湿肺最常见的临床症状,而肺泡积液、肺间质积液、肺淤血是最重要的X线征象.结论：早期摄片对早期诊断新生儿湿肺具有重要意义,并可与新生儿肺透明膜病、吸入性肺炎、肺出血等疾病相鉴别.

Objective：To evaluate the clinical findings and the appearances of chest X -- ray plain films of wet lung disease of neonatal so as to improve the accuracy of diagnosis. Methods ： Thirty cases confirmed by clinic in our hospital were collected. The X -- ray manifestations and clinical findings were retrospectively analyzed. Results：Dyspnoea.cyanosis.groan are the most common clinical signs of wet lung disease of neonatal .The alveolar effusion.the pulmonary interstititurn effusion and pulmonary congestion are the main X--ray appearances. Conclusion,It is very important to take chest radiography early, which is an effective method not only in diagnosis of neonatal wet lung disease early but also in differentiating diagnosis from hyaline membrane disease, aspirated pneumonia and pulmonary hemorrhage of newborn.