CR在新生儿重症监护病房中的应用分析

Value of Bedside CR in the Neonatal Intensive Care Unit

目的:探讨床旁CR片在新生儿急危重症患者中的应用价值。方法:回顾性分析我院2012年8月至2013年5月100例共148份新生儿床旁CR片,对CR片投照质量进行评价,并分析其X线表现。结果:148份床旁胸片中,143份符合诊断要求,合格率占96.62%。诊断新生儿肺炎37例(含重症肺炎25例),新生儿肺透明膜病11例,吸入性肺炎5例,新生儿气胸18例,纵隔气肿4例,新生儿湿肺8例,先天性肺不发育或发育不良1例,先天性心脏病5例;小儿坏死性小肠结肠炎症4例,胎粪性腹膜炎2例,气腹及液气腹2例,先天性膈疝3例(含先天性膈肌缺如1例)。结论:CR片拓宽了影像信息,可降低辐射剂量,提高新生儿危急重症患者诊断符合率,大大地满足新生儿危急重症患者的床边X线检查需要,还能有效规避和降低潜在的医疗风险,值得临床推广。

Objective：To assess the value of bedside CR in the neonatal intensive care unit. Methods： 148 plain films of bedside CR in 100 neonates were analyzed in the projection quality and radiologic findings. Results ：143 accorded with the criteria in 148 plain films, with coincidence rate of 96. 6%. There were 37 patients with pneumonia of newborn（ included 25 patients with Severe pneumonia）, 11 patients with hyaline membrane disease, 5 patients with aspirated pneumonia, 18 patients with pneumothorax in newborn ,4 patients with mediastinal empbesema,8 patients with wet lung of newborn, 1 patients with congenital pulmonary bypoplasia,5 patients with congenital cardiopathy,4 patients with necrotizing enterocolitis,2 patients with meconium peritonitis ,2 patients with aeroperitoneum and 3 patients with congenital diaphragmatic hernia. Conclusion：The information was increased and the radiation dose was degraded for bedside CR and its diagnosing accordance rates for neonates inintensive care were increased too.