摘要
目的探讨新生儿肺透明膜病及其并发症的影像表现,提高早期诊断能力。方法根据X线诊断标准及分级回顾性分析了经临床及病理证实的87例新生儿肺透明膜病的影像表现。结果本组87例中,Ⅰ级11例,Ⅱ级2 7例,Ⅲ级31例,Ⅳ级18例。其各种并发症如下动脉导管开放38例,肺出血2 9例,肺炎14例,气漏7例,缺氧缺血性脑病6例,颅内出血5例,支气管肺发育不良3例。结论新生儿肺透明膜病及并发症的影像表现多种多样,支气管充气征是诊断新生儿肺透明膜病最可靠的影像表现,结合临床大都可以作出肯定诊断。X线、B超等影像检查的常规、动态观察能及时发现并发症。
Objective:To investigate the image features of hyaline membrane disease(HMD)and to improve the early diagnostic ability.Methods:Image displays of 87 newborns with clinically and pathologically proved HMD were analyzed retrospectively.Results:These 87 cases were classified as gradeⅠ: 11cases, gradeⅡ:27 cases,gradeⅢ:31cases,grade Ⅳ:18 cases.The complications of HMD in newborns included:patent ductus arteriosus (PDA,38cases),pulmonary hemorrhage (29 cases),pneumonia (14 cases),airleak (7 cases),hypoxic-ischemic encephalopathy (HIE,6 cases),intracranial hemorrhage (5 cases),bronchopulmomary dysplasia (BPD 3cases).Conclusion:There are various images of HMD and its complications in newborns,the aerial bronchogram is the most reliable image of HMD to be diagnosed.It can be clearly diagnosed combining the clinical symptoms,but,there are some difficulties in X-ray diagnosis of HMD grade Ⅰ. X-ray and ultrasonography routine trends observation can help to find the complications in time.
出处
《医学影像学杂志》
2005年第3期201-203,共3页
Journal of Medical Imaging
关键词
肺透明膜病
并发症
影像分析
Hyaline membrane disease
Complications
Image analysis
