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目的分析新生儿肺透明膜病(HMD)的胸部X线与临床表现,提高其诊断及鉴别能力。方法回顾性分析厦门市妇幼保健院28例新生儿肺透明膜病的X线平片及临床资料。结果有8例胸部X线平片示两肺野呈广泛颗粒影,15例表现为肺野透光度降低和支气管充气征,5例表现两肺野大片实变,呈“白肺”改变。合并肺出血5例,肺炎3例。结论胸部X线检查是HMD诊断的重要方法,正确认识HMD胸部X线的主要特征性征象,有助于早期诊断与治疗。
Objective To analyze the chest X-ray and clinical manifestations of neonatal hyaline membrane disease (HMD) and to improve its diagnostic and differential ability. Methods The X-ray and clinical data of 28 cases of neonatal hyaline membrane disease in Xiamen MCH were retrospectively analyzed. Results There were 8 cases of chest X-ray showed extensive granulography in both lung fields, 15 cases showed decreased lung field transmissivity and bronchial inflamation sign, 5 cases showed large lung solidification in both lungs, change. Pulmonary hemorrhage in 5 cases, 3 cases of pneumonia. Conclusion Chest X-ray examination is an important method for the diagnosis of HMD. Correct understanding of the main characteristic features of the chest X-ray of HMD is helpful for the early diagnosis and treatment.