新生儿肺透明膜病的X线胸片与病理对照研究(附9例分析)

X-ray features with autopsy pathology correlative study for hyaline membrane disease in newborn

目的 :通过对新生儿肺透明膜病的X线与病理对照研究 ,提高对该病X线征象的认识。方法 :9例新生儿肺透明膜病患者均摄胸部正位及水平侧位X线片 ,并将其表现与尸检病理所见进行对照分析。结果 :轻度 2例 ,X线主要表现为两肺内中带有小颗粒和 /或网状小结节影 ;中度 3例 ,X线主要表现为细小颗粒状或网状小结节状影逐渐融合呈斑片状影 ;重度 4例 ,两肺大片实变呈“白肺”状。结论 :新生儿肺透明膜病的X线表现有其特征性 。

Objective:To evaluate the X ray diagnosis ability for newborn hyaline membrane disease (HMD) through correlated study of X ray manifestations with autopsy pathology.Methods:Nine cases of the newborn HMD were confirmed by autopsy pathology and the X ray features were compared with them.Results:The X ray appearance were mottling lesions in light degree of 2 cases,reticular and patchy lesions in medium degree of 3 cases,large patchy consolidation in heavy degree of 4 cases.Conclusion:The X ray appearance of HMD has characteristic.It is helpful for diagnosis and remedy to realize the peculiar imaging appearance of HMD.