42例新生儿肺透明膜病x线影像分析

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1、2014年1月中国民康医学Jan，2014第26卷半月刊第1期MedicalJournalofChinesePeople"sHealthVo1．26SemimonthlyNo．1【临床研究】42例新生儿肺透明膜病X线影像分析赵红(扬州市妇幼保健院放射科，江苏扬州225002)【摘要】目的：探讨新生儿肺透明膜病(hyalinemembranediseaas，HMD)X线影像特征。方法：对扬州市妇幼保健院新生儿病房42例确诊为HMD的患儿床边x线胸片进行分析，根据肺泡萎陷程度，HMD分为四级。结果：I级x线表

2、现肺野透亮度略低，肺野内见细小颗粒影；II级x线表现肺野透亮度进一步降低，呈磨玻璃样改变，肺野内见密集分布均匀的细颗粒影，并见支气管充气征。IⅡ级x线表现肺内细颗粒影融合变大，边缘模糊，肺野透亮度明显降低，心膈模糊。Iv级x线表现肺野密度均匀致密呈“白肺”，心缘膈面完全消失。结论：HMD的X线影像具有特征性表现，x线胸片是诊断HMD的可靠检查方法。【关键词】新生儿肺透明膜病；肺野透亮度；x线胸片doi：10．3969／j．issn．1672-0369．2014．O1．007中图分类号：R722．12文献标

3、识码：B文章编号：1672—0369(2014)01—0018—02AnalysisofX-rayimagesfor42casesofneonatalpulmonaryhyalinemembranediseaseZHAOHong(RadiologicalDepartmentofWomenandChildren％HealthHospitalofYangzhou，Jiangsu225002，China)【Abstract】Objective：Todiscussx—rayimagefeaturesofneona

4、talpulmonaryhyalinemembranedisease(hyalinemembranediseaas，HMD)．Methods：42casesinneonatalwardofourhospitalanddiagnosedasHMDwereselected，andtheirbedsideX-rayfilmswereanalyzed．Accordingtothedegreeofalveolarcollapse，HMDweredividedintofourlevels．Results：Thelun

5、gfieldX-rayimageoftheIlevelHMDshowedaslightlylowtransparency，andtinyparticleshadowsweresee．ThetransparencyofthelungfieldinthosewithIIlevelHMDwasfurtherreducedandshowedaground-glassopacity，thereweredenselyandhomogeneouslydistributedfineparticleshadowsinthe

6、lungfield，andanair-filledbronchialsocouldbeseen．TheX-rayimageofIIIlevelHMDshowedfusedfineparticleshadowsinthelungwithablurryedge，thelungfieldtransparencywassignificantlyreduced，andalsotheheartdiaphragmwasblurry．TheX—rayimageofIIIlevelHMDshoweda”whitelung”

7、withanuni~rmdensity，andthediaphragmaticsurfaceofthecardi—aebondercompletelydisappeared．Conclusions：TheX—rayimageofHMDhasthecharacteristicfeatures，andtheX—raychestradio—graphisareliableexaminationmethodindiagnosisofHMD．【Keywords】Neonatalpulmonaryhyalinemem

8、branedisease(HMD)；Lungfieldtransparency；X—raychestradiograph新生儿肺透明膜病(hyalinemembranedisease．双肺呼吸音减弱，部分可闻及湿哕音。HMD)又称为特发性呼吸窘迫综合征或表面张力物1．2方法患儿仰卧位，用沙袋固定患儿双上肢，质缺乏疾病，以进行性呼吸困难为主要临床表现，多常规摄取胸部前后正位片，必要时加拍水平侧卧位发生于早产儿。其病情重，早期病死