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目的探讨新生儿透明膜病的X线诊断方法。方法收集资料完整的肺透明膜病患儿32例,对临床及X线表现进行分析。结果根据X线征象分析,32例中30例两肺透亮度明显减低,呈毛玻璃样改变,其内见细小颗粒状影及网络状阴影;23例出现支气管充气征;28例见纵隔、心影及横隔轮廓模糊,但膈面位置正常;白肺及纵隔气肿各1例。临床疗效分析:本组治愈15例,好转后自动出院13例,4例死亡。结论新生儿肺透明膜病大多可表现出典型的征象,X线检查有助于诊断、鉴别诊断和有效地随诊临床治疗效果。
Objective To investigate the X-ray diagnostic method of hyaline membrane disease in neonates. Methods Totally 32 children with hyaline membrane disease were collected, and the clinical and X-ray findings were analyzed. Results According to the X-ray findings, in the 32 cases, the transparence of both lungs was significantly reduced in 30 cases, showing a ground-glass-like change with small granular shadow and network-like shadow in the 32 cases. Bronchial inflamation sign was seen in 23 cases and mediastinal, And blurred outline of the diaphragm, but normal diaphragmatic location; white lung and mediastinal emphysema in 1 case. Clinical analysis: 15 cases were cured in this group, 13 cases were discharged automatically after the improvement, and 4 cases died. Conclusion Most of the newborns with hyaline membrane disease can show typical signs. X-ray examination can be helpful in the diagnosis, differential diagnosis and effective follow-up of clinical treatment.