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目的:提高对新生儿肺透明膜病的X线诊断价值的认识。方法:收集资料完整的肺透明膜病患儿58例,对临床及X线表现进行分析。结果:根据X线征象分析,58例中48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;40例出现支气管充气征32例见纵隔、心影及横膈轮廓模糊;白肺及纵隔气肿各5例。临床疗效分析:本组治愈30例,好转后自动出院24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,胸部X线检查对HMD早期诊断,重要并发症的诊断和预后的判断具有重要价值。
Objective: To improve the diagnosis of neonatal hyaline membrane disease X-ray diagnostic value. Methods: Fifty-eight children with hyaline membrane disease were collected, and the clinical and X-ray findings were analyzed. Results: According to the X-ray findings, 48 cases of 58 cases of two lung significantly decreased translucent, showing a ground glass-like change, which see small granular shadow and network-like shadow; 40 cases of bronchial airway sign 32 cases see the mediastinum, And diaphragm outline fuzzy; white lung and mediastinal emphysema in 5 cases. Clinical analysis of efficacy: The group cured 30 cases, 24 cases were discharged automatically after the improvement, 4 patients died. CONCLUSION: Most of the newborns with hyaline membrane disease may show typical signs. Chest X-ray examination is of great value in early diagnosis of HMD, diagnosis of important complications and prognosis.