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目的:探讨联合应用CT检查及X线影像检查对早产儿肺透明膜病的诊断意义。方法:选取2007年5月至2011年8月间我院收治的患有肺透明膜病的早产儿50例作为研究对象,对这些早产儿进行胸部X线影像摄片,然后再对其进行多层螺旋CT检查,将这两项检查的诊断结果进行综合分析,再将分析结果及这些早产儿的临床资料进行回顾性的分析。结果:根据影像学诊断分级标准,在这50例患儿中,病情判定等级为Ⅰ级的患儿有26例,病情判定等级为Ⅱ级的患儿有4例,病情判定等级为Ⅲ级的患儿有17例,病情判定等级为Ⅳ级的患儿有3例。这50例患儿均表现出本病的典型征象:双肺出现颗粒状或细小网格状阴影、两肺野透亮度减低及支气管充气征。结论:联合应用CT检查及X线影像检查对早产儿肺透明膜病进行临床诊断具有极其重要的意义。将患儿的临床资料与影像诊断结果相结合,能使医护人员准确地掌握患儿的病情动态及变化特点,对及时、准确地诊断此病,提高临床疗效均具有极其重要的价值。
Objective: To explore the diagnostic value of combined application of CT and X-ray examination in the diagnosis of hyaline membrane disease in premature infants. Methods: Fifty cases of premature infants with hyaline membrane disease treated in our hospital from May 2007 to August 2011 were selected as the study subjects, and chest X-ray radiography was performed on these preterm infants and then more Stratum spiral CT examination, a comprehensive analysis of the diagnostic results of these two tests, and then analyze the results and clinical data of these premature children for retrospective analysis. Results: According to the imaging diagnostic grading standards, among the 50 children, there were 26 children with grade Ⅰ, 4 children with grade Ⅱ, grade Ⅲ There were 17 cases of children and 3 cases of children with grade IV status. These 50 patients showed typical signs of the disease: the lungs appear granular or small grid-shaped shadows, two lungs through the brightness reduction and bronchial airway sign. Conclusion: The combined application of CT and X-ray examination in the diagnosis of hyaline membrane disease in preterm children is extremely important. Combining the clinical data of children with the diagnostic results of the images can enable medical staff to accurately grasp the characteristics and changes of the disease in children and has extremely important value in diagnosing the disease timely and accurately and improving the clinical curative effect.