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目的:探讨新生儿肺透明膜病的X线表现,提高对本病的认识和早期诊断的能力,指导临床早期治疗。方法:根据X线诊断及分级标准,回顾性分析经临床证实的25例新生儿肺透明膜病的床旁X线表现。结果:本组25例中11例表现为肺纹理模糊,可见颗粒状阴影;8例表现为肺野透过度减低,可见网状、颗粒状阴影及支气管充气征;4例肺野透过度明显减低,可见片状影,心缘及膈面模糊,支气管充气征明显;2例肺野呈均匀致密影,称为“白肺”。其中合并肺炎4例,气胸2例,纵隔气肿1例。结论:新生儿肺透明膜病的X线表现各种各样,支气管充气征为本病的特征性表现。普通X线检查和结合临床是诊断本病的可靠方法。
OBJECTIVE: To investigate the X-ray findings of hyaline membrane disease in neonates and to improve their ability to recognize and diagnose the disease and to guide early clinical treatment. Methods: The bedside X-ray findings of clinically confirmed 25 cases of hyaline membrane disease were retrospectively analyzed according to X-ray diagnosis and grading standards. Results: In the group of 25 cases, 11 cases showed obscure lung appearance with granular shadow; 8 cases showed decreased lung field permeability, reticular, granular shadow and bronchial inflatable sign; 4 cases of lung field permeability decreased significantly , Showing flaky shadow, heart edge and diaphragmatic obscuration, bronchial inflatable sign was obvious; 2 cases of lung field was uniform and compact shadow, known as “white lung ”. Including pneumonia in 4 cases, pneumothorax in 2 cases, 1 case of mediastinal emphysema. Conclusion: There are various manifestations of X-ray in hyaline membrane disease of neonates. Bronchial inflamation sign is the characteristic manifestation of this disease. Common X-ray examination and combined with clinical diagnosis of the disease is a reliable method.