论文部分内容阅读
目的:分析肺透明膜病及其并发症X线表现。材料和方法:对确诊HMD60例的临床、X线及部分病理资料进行回顾性分析。所有病例在气管插管机械通气治疗前作了胸腹照片检查,除14例入院当天死亡外,其余均作了1-6次不等照片复查。结果:根据文献提出的分级标准,以第一次照片为分析依据,X线照片结果如下:Ⅰ级4例(6.67％),Ⅱ级11例(18.33％),Ⅲ级23例(38.33％),Ⅳ级22例(36.67％)。动态照片发现:5例X线表现升级,27例有不同程度的好转。本组病例并发症较多,主要有重度肺气肿、肺不张各3例,气胸4例,肺炎11例,肺出血7例,BPD 2例,NEC 4例,PDA 19例。结论:X线照片动态观察不但可以明确诊断,同时对及时发现各种并发症,评估预后具有重要意义。
Objective: To analyze the manifestations of hyaline membrane disease and its complications. Materials and Methods: Clinical, X-ray and some pathological data of 60 cases diagnosed as HMD were retrospectively analyzed. All cases in the endotracheal intubation mechanical ventilation made a chest and abdomen photo examination, in addition to 14 cases of death on the day of admission, the rest were made 1-6 ranging photo review. Results: According to the grading standards proposed in the literature, based on the first photographs, the results of radiographs were as follows: grade Ⅰ in 4 cases (6.67%), grade Ⅱ in 11 cases (18.33%), grade Ⅲ in 23 cases (38.33%), , Grade Ⅳ 22 cases (36.67%). Dynamic pictures found: 5 cases of X-ray performance upgrade, 27 cases have varying degrees of improvement. This group of patients with more complications, mainly in patients with severe emphysema, atelectasis in 3 cases, pneumothorax in 4 cases, pneumonia in 11 cases, pulmonary hemorrhage in 7 cases, BPD in 2 cases, NEC in 4 cases, PDA in 19 cases. Conclusion: X-ray dynamic observation can not only confirm the diagnosis, but also find out the various complication in time and evaluate the prognosis.