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目的探讨新生儿肺透明膜病诊断的必备条件,提高诊断率。方法回顾分折拍摄的床头胸片1000例,确诊4例经过临床住院证实,有完整病例资料的新生儿肺透明膜病。结果全部床头胸片均符合诊断质量要求,4例新生儿肺透明膜病患儿均为生后即出现进行性呼吸困难,X线胸片诊断为新生儿肺透明膜病1级1例,3级2例,4级1例。其中2例3级因病情重,家属放弃治疗,1例因发展为“白肺”死亡。另一例1级病情较轻,经临床治愈。结论床头胸片是诊断新生儿肺透明膜病的必备条件,高质量胸片是诊断的可靠保证,经验丰富的临床放射科医师是诊断的核心。
Objective To explore the necessary conditions for diagnosis of hyaline membrane disease in neonates and to improve the diagnosis rate. Methods A total of 1000 bedside chest radiographs were retrospectively analyzed. Four cases of confirmed hysteroscopic pneumonia were confirmed by clinical inpatients with complete case data. Results All the bedside chest radiographs met the diagnostic quality requirements. All 4 neonates with hyaline membrane disease had progressive dyspnea after their birth. One case was diagnosed as grade 1 of neonatal hyaline membrane disease by X-ray, 3 cases in 2 cases, 4 cases in 1 case. Of which 2 cases of grade 3 due to serious illness, family members to give up treatment, 1 case due to the development of “lung” death. Another case of a mild condition, clinically cured. Conclusion The bedside chest radiograph is a prerequisite for the diagnosis of hyaline membrane disease in neonates. High quality chest radiograph is a reliable guarantee for diagnosis. An experienced clinical radiologist is the core of diagnosis.