新生儿呼吸窘迫综合征的临床X线诊断

Clinical X-ray diagnosis for neonatal respiratory distress syndrome

目的探讨新生儿呼吸窘迫综合征的胸部x线表现及临床特点，旨在早期诊治。方法回顾性分析新生儿呼吸窘迫综合征60例，动态观察其x线变化及临床特点。结果本组60例患儿中，均为早产儿。依据x线Ⅳ级分类法，其中I级12例，Ⅱ级23例，Ⅲ级17例（病死1例），IV级8例（病死2例）。除3例患儿死亡，其余患儿2～3周治愈，胸部x线病变消失。临床主要表现为不同程度呼吸困难，面色青紫，呼吸性呻吟，三凹征等。结论胸部x线检查是临床诊断新生儿呼吸窘迫综合征的主要方法，对观察疗效和病情变化有重要价值。

Objective To investigate the chest X-ray performance and clinical features of neonatal respiratory distress syndrome and to get early diagnosis and treatment. Methods Retrospective analysis and dynamic viewing of X-ray changes and clinical features of 60 cases with neonatal respiratory distress syndrome were conducted. Results All of the 60 cases were premature infant. Based on X-ray IV level classification, there were 12 cases in level I , and 23 cases in level Ⅱ , 17 cases in level HI （1 case died）, 8 cases in level IV （2 cases died）. Except 3 cases died, other sick children were cured within 2-3 weeks and the chest X-ray lesion of these children disappeared. The main clinical manifestation included dyspnea, cyanosis, respiratory groan, three depression sign and so on. Conclusion Chest X-ray examination is the main diagnostic methods for neonatal respiratory distress syndrome and it has significant value for therapeutic observation and disease de- velopment.