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目的 :探讨新生儿湿肺症的临床表现和X线征象特点 ,以提高正确诊断率。方法 :对临床及X线资料完整的 3 8例新生儿湿肺症进行临床及X线征象分析。男 17例 ,女 2 1例 ;其中正常分娩者 2 3例 ,非正常分娩者 15例 ;有宫内窘迫者 8例 ,出生时有窒息者 18例 ;出生后 1天内拍第 1张胸片者 3 6例 ( 94 73 % ) ,3～ 7天拍片复查者 3 3例 ( 86 84% )。结果 :临床表现为青紫者 3 1例( 81 5 8% ) ,呼吸加快者 2 0例 ( 5 2 63 % ) ,听诊呼吸音粗者 16例 ( 4 2 11% ) ,有湿罗音者 9例 ( 2 3 68% ) ;X线表现有肺泡及肺间质积液者 3 5例 ( 92 11% ) ,肺淤血 2 9例 ( 76 3 2 % )。结论 :新生儿湿肺症症状出现于生后数小时 (大部分在 6上时以内 ,平均 1小时 ) ,临床主要表现为青紫、呼吸加快、呼吸音粗或减低等 ,X线主要表现为肺泡及肺间质积液、肺淤血等 ,及早X线摄片检查对早期诊断有重要意义。
Objective: To investigate the clinical manifestations and X-ray features of neonatal wet lung disease in order to improve the correct diagnosis rate. Methods: The clinical and X-ray findings of 38 cases of neonatal wet lung disease with complete clinical and X-ray data were analyzed. There were 17 males and 21 females. Among them, 23 cases were normal delivery and 15 cases were abnormal delivery. There were 8 cases of intrauterine distress and 18 cases of asphyxia at birth. The first chest radiograph There were 36 cases (94 73%) of them, and 33 cases (86 84%) of them were reviewed in 3 ~ 7 days. Results: The clinical manifestations were as follows: 31 cases of cyanuria (81.58%), 20 cases of respiratory acceleration (5263%), 16 cases of obstructive auscultation (42.11%), wet rales 9 Cases (23 68%); X-ray showed lung and interstitial effusion 35 cases (92 11%), 29 cases of pulmonary congestion (76 3 2%). Conclusions: The symptoms of neonatal wet lung syndrome occur in a few hours after birth (most of them are within 6 hours on average, 1 hour). Clinical manifestations include bruising, rapid breathing, coarse or weak breath sounds, etc. The main symptoms of X-ray are alveoli And interstitial effusion, pulmonary congestion, etc., early X-ray examination of early diagnosis of great significance.