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目的通过对新生儿肺炎X线片分析,以提高对新生儿肺炎的X线片诊断水平。方法回顾性分析2008年2月～2009年12月在我院新生儿科确诊且资料完整的150例新生儿肺炎的临床表现和胸片改变。结果右肺野一侧有影像表现的37例,左肺野一侧有影像表现的13例,两肺野均有影像表现的100例。伴有肺不张的4例,上纵隔有胸腺影的7例,合并肺出血的2例。新生儿肺炎X线片影像表现多样性,主要表现为肺纹理增多增密;肺野透光度略降低或局限性增强;局限性小片状或小斑片状模糊影;沿支气管分布的小斑片状模糊影。结论胸部摄片是诊断新生儿肺炎必不可少的手段,可为临床早期诊断和治疗提供重要的信息,对提高临床诊疗水平有重要价值。
Objective To improve the diagnosis of neonatal pneumonia by X-ray analysis of neonatal pneumonia. Methods The clinical manifestations and chest radiographs of 150 neonates with pneumonia diagnosed in our hospital from February 2008 to December 2009 were retrospectively analyzed. Results There were 37 cases of imaging in the right lung field, 13 cases of imaging in the left lung field and 100 cases in both lung fields. 4 cases with atelectasis, 7 cases with thymus shadow on the mediastinum and 2 cases with pulmonary hemorrhage. Neonatal pneumonia X-ray image performance diversity, mainly as lung densification increased density; lung field transmissibility slightly reduced or limited enhancement; limitations of small patchy or small patchy blur; along the bronchial distribution of small Patchy fuzzy shadow. Conclusion Chest radiography is an indispensable tool for diagnosis of neonatal pneumonia. It can provide important information for early clinical diagnosis and treatment, and is of great value in improving clinical diagnosis and treatment.