高海拔地区新生儿肺出血病理与X线检查的对照观察

THE CONTRAST OBSERVATION BETWEEN PATHOLOGIC AUTOPSY AND X-RAY IN NEONATAL PULMONARY HEMORRHAGE AT HIGH ALTITUDE

目的 :通过病理与X线检查的对照观察 ,探讨新生儿肺出血病死率不仅在早产儿中占首位 ,也是足月儿死亡的主要原因 ;方法 :搜集、整理我院 1 995年初— 1 998年 9月1 0 7例新生儿肺出血病历资料 ,做 5 0例新生儿肺出血尸检 ,男婴 3 6例 ,女婴 1 4例 ,进行大体检查 ,常规石蜡切片、HE染色、光镜观察等 ,生前均摄X光胸片 ;结果 :临床诊断肺出血2 0例 (47% ) ,X线诊断肺出血 44例 (88% ) ,尸检证实肺出血 43例 ;结论 :新生儿肺出血病死率极高 ,明显高于平原地区 ,X线是早期诊断新生儿肺出血不可取代的方法。

Objective:It is impossible to diagnose neonatal pulmonary hemorrhage(NPH)early according to the clinical manifestation.In this paper we try to show that X-ray is the best way to diagnose NPH early by the contrast observation between pathology and X-ray;Methods:We collected 107 cases of NPH from January in 1995 to September in 1998 in our hospital.Under general autopsy,paraffion insection,HE Staining,microscope,50 cases(36 females,14 males)of NPH were examined.In addition,X-ray was taken for every patient before he/she died.Results:NPH is caused by disseminated alveolar hemorrhage,which is one of the most critical diseases of newborn,The mortality of NPH is extremely higher at high altitude compared with in sea level.Among 50 cases,20 were diagnosed according to the clinical manifestation(20%),44 according to X-ray (88%),while 43 according to auto psy(86^); Conclusion:X-ray is the best way to diagnose NPH early.