新生儿肺透明膜病的X线诊断

X-ray Diagnosis of Hyaline Membrance Disease in Newborn

目的 :探讨新生儿肺透明膜病的X线表现特征。材料和方法 :回顾性分析经临床及病理证实的 2 4例新生儿肺透明膜病的X线表现。结果 :本组 2 4例中 2例肺野可显示网格及斑点状密度增高阴影 ,2 1例表现为肺野透光度减低 ,1例仅表现肺纹理增强。其中 16例可见空气支气管征。本组合并肺出血 6例 ,合并有动脉导管未闭 5例 ,并发气胸 1例。结论 :X线检查是诊断新生儿肺透明膜病的主要方法。胸部照片显示肺野透光度减低、“白肺”及空气支气管征 ,结合临床 ,可作出较明确的诊断。

Purpose:To study the X-ray findings of Hyaline membrane disease in newborn.Materials and Methods: The X-ray findings in 24 cases of hyaline membrane disease confirmed by clinic and pathology were retrospectively reviewed and analyzed.Results: In 24 cases, the lesion of lung field displayed reticular and spot high density shadow in 2 cases, translucence diminution in 21 cases, increased brochovascular shadows in 1 case. 16 of 24 cases displayed air-bronchopram sign, 6 cases concurrent pneumorrhagia, 5 cases concurrent patent ductus arteriosus, 1 case concurrent pneumothorax. Conclution: X-ray is the main method for diagnosing hyaline membrane disease in newborn. Combining the sign of translucence diminution, 'white lung' and air-bronchopram sign with clinical symptoms, the diagnosis is clearl.