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目的:观察新生儿肺透明膜病的数字床旁胸片影像特点,评价其诊断价值。方法:分析18例新生儿肺透明膜病患儿的床旁胸片表现及其临床资料。结果:Ⅰ级Ⅱ级共9例,6 h和12 h复查胸片肺部趋于正常;Ⅲ级6例,24 h后复查,4例肺部病变改善,2例进展,其中1例2天后死亡。Ⅳ级3例,用药后2例好转,1例并发肺炎、心衰2天后死亡。结论:床旁胸片是诊断新生儿肺透明膜病必不可少的检查手段。肺充气不良伴细颗粒密度增深影、支气管充气征及肺容量正常为新生儿肺透明膜病的X线重要征象。
Objective: To observe the characteristics of digital bedside chest radiography in neonates with hyaline membrane disease and to evaluate its diagnostic value. Methods: The bedside chest radiographs and clinical data of 18 neonates with hyaline membrane disease were analyzed. Results: There were 9 cases in grade Ⅰ and Ⅱ, 6 cases in grade Ⅲ and 6 cases in grade Ⅲ, and 4 cases in grade Ⅲ were improved after 24 hours. There were 2 cases in which pulmonary lesions were improved in 2 cases death. Ⅳ grade 3 cases, 2 cases improved after treatment, 1 case of pneumonia complicated with heart failure died after 2 days. Conclusion: The bedside chest radiograph is an indispensable means to diagnose neonatal hyaline membrane disease. Pulmonary hypopnea with increased density of fine particles, bronchial airway signs and normal lung capacity for neonatal hyaline membrane disease X-ray signs.