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目的观察X射线胸片在晚期新生儿黄疸并肺炎诊断中的应用价值。方法对黄疸持续不退与晚期新生儿高间胆红素血症患儿拍摄X射线胸片检查。观察X射线胸片提示肺炎与临床肺炎表现的相关性。同时观察不同大夫对肺炎症状、体征认可的一致性。结果160例X射线检查患儿中,140例诊断为肺炎,有肺炎临床表现者仅36例,124例无肺炎临床表现。χ2=0.85,P>0.05,有否肺炎临床表现与X射线检查结果差异无统计学意义上。不同大夫对口周青紫与呼吸音粗糙的判断不一致,有显著差异;无肺炎临床表现者应用抗生素治疗后出现肺炎临床表现者较未使用者多,有显著差异,黄疸消退情况两组无差异。结论①新生儿黄疸患儿,如无肺炎临床表现,可不做x射线检查。②对非明显的肺炎体征,不同的大夫判断不同。③无肺炎临床表现新生儿黄疸,应用抗生素无益。
Objective To observe the value of X-ray in the diagnosis of neonatal jaundice and pneumonia. Methods X-ray examination of children with jaundice persistent hyperbilirubinemia and neonatal hyperbilirubinemia. Observe the correlation between X-ray and clinical pneumonia. At the same time observe the different doctors on the symptoms of pneumonia, signs of accreditation consistency. Results Among the 160 cases of X-ray examination, 140 cases were diagnosed as pneumonia. Only 36 cases had clinical manifestations of pneumonia and 124 cases had no clinical manifestations of pneumonia. χ2 = 0.85, P> 0.05, there is no difference between clinical manifestations and X-ray findings of pneumonia. There was a significant difference between the judgment of different doctors against Zhou Qing Zi and the rough sound of breath sounds. There was a significant difference in the clinical manifestations of pneumonia among those without clinical manifestations of pneumonia compared with those without. There was no difference between the two groups in the regression of jaundice. Conclusion ① neonatal jaundice in children, such as pneumonia without clinical manifestations, do not do x-ray examination. ② non-obvious signs of pneumonia, different doctors judge different. ③ pneumonia clinical manifestations of neonatal jaundice, use of antibiotics helpless.