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目的分析新生儿气胸床旁胸片特征性X线表现,探讨判定其气胸量多少的方法,指导临床治疗。方法 58例患儿均摄床旁仰卧前后位胸片,35例同时摄有仰卧水平侧位片,54例有1次或1次以上的复查胸片。结果多量气胸45例,需要外科穿刺或引流术的41例;少量气胸13例,需要外科穿刺或引流术的3例,两者比较差异有统计学意义。结论新生儿气胸床旁前后位仰卧胸片基本能满足临床的要求,本组资料若以张力性气胸、肺组织压缩>30%的外侧气胸、前方气胸、肺周围气胸、条纹区占同侧肺野的比例达到或超过一半的内侧气胸为多量气胸,约91%需要外科处理,对临床治疗有一定的指导意义,可供参考。
Objective To analyze the characteristic X-ray findings of neonatal pneumothorax para-chest radiograph and to explore the method of determining the amount of pneumothorax to guide the clinical treatment. Methods 58 cases of supine patients were supine abdominal chest radiograph, 35 cases supine horizontal lateral radiographs, 54 cases of one or more times the review of chest radiograph. Results A total of 45 cases of pneumothorax required surgical puncture or drainage of 41 cases; a small amount of pneumothorax in 13 cases, requiring surgical puncture or drainage in 3 cases, the difference was statistically significant. Conclusions Neonatal pneumo-pneumoperitoneum anteroposterior supine chest radiograph can basically meet the clinical requirements of this group of data if the tension pneumothorax, lung tissue compression> 30% of the lateral pneumothorax, anterior pneumothorax, pneumothorax around the pneumothorax, stripe zone accounted for ipsilateral lung The proportion of wild or more than half of the medial pneumothorax for the large amount of pneumothorax, about 91% require surgical treatment of the clinical treatment has some guiding significance for reference.