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目的:分析新生儿肺透明膜病(HMD)的临床与X线特点,提高对新生儿HMD的认识与X线诊断水平。方法:收治我院新生儿HMD患儿28例,摄取仰卧前后位X线胸片,在治疗过程中复查X线片。结果:根据X线表现,本组28例患儿中新生儿HMDⅠ级7例,Ⅱ级10例,Ⅲ级9例,Ⅳ级2例。在治疗过程中出现并发症10例,其中肺不张2例,气胸3例,肺炎2例,缺血缺氧性脑病1例,坏死性肠炎2例。结论:新生儿HMD有一定的X线特征,是及时了解病程发展与治疗效果的主要手段。
Objective: To analyze the clinical and X-ray features of neonatal hyaline membrane disease (HMD), and to improve the understanding and X-ray diagnosis of neonatal HMD. Methods: Twenty-eight newborns with HMD were admitted to our hospital for ingestion of X-ray before and after supine and X-ray examination during the treatment. Results: According to the X-ray findings, there were 7 cases of neonatal HMD grade Ⅰ, 10 cases of grade Ⅱ, 9 cases of grade Ⅲ and 2 cases of grade Ⅳ in 28 newborns. Complications in the course of treatment in 10 cases, including 2 cases of atelectasis, pneumothorax in 3 cases, pneumonia in 2 cases, hypoxic-ischemic encephalopathy in 1 case, 2 cases of necrotic enteritis. Conclusion: Neonatal HMD has some X-ray features and is the main means to understand the course of disease development and treatment.