CAJ | 학술논문

目的：探讨新生儿肺透明膜病及其并发症的影像学表现，旨在提高对本病及并发症的早期诊断水平。方法回顾性分析经临床或病理证实的106例新生儿肺透明膜病及其并发症的 X 线、CT、B 超表现。结果本组106例中，新生儿肺透明膜病分级Ⅰ级23例，Ⅱ级55例，Ⅲ级20例，Ⅳ级8例，并发症69例，其中动脉导管开放34例，肺炎40例，新生儿缺氧血性脑病13例，肺出血9例，气漏11例，肺发育不良3例，结论大部分新生儿肺透明膜病及其并发症运用动态 X 线片结合临床可明确诊断，合理应用 CT 和 B 超及时发现其并发症，有助于临床实施正确的救治措施，对预后评估具有重要的指导性价值。
목적：탐토신생인폐투명막병급기병발증적영상학표현，지재제고대본병급병발증적조기진단수평。방법회고성분석경림상혹병리증실적106례신생인폐투명막병급기병발증적 X 선、CT、B 초표현。결과본조106례중，신생인폐투명막병분급Ⅰ급23례，Ⅱ급55례，Ⅲ급20례，Ⅳ급8례，병발증69례，기중동맥도관개방34례，폐염40례，신생인결양혈성뇌병13례，폐출혈9례，기루11례，폐발육불량3례，결론대부분신생인폐투명막병급기병발증운용동태 X 선편결합림상가명학진단，합리응용 CT 화 B 초급시발현기병발증，유조우림상실시정학적구치조시，대예후평고구유중요적지도성개치。
Objective Manifestations of neonatal hyaline membrane diseaseand its complications image, to improve the early diagnosis of this disease and its complications. Methods Retrospective analysis of the clinic and pathology of 106 cases of neonatal pulmonary hyaline membrane diseaseand its complications, CT, B ultrasound manifestations of X-ray. Results Among the 106 cases, neonatal hyaline membrane disease grade I in 23 cases, 55 cases of grade II, 20 cases in grade Ⅲ, Ⅳ 8 cases, complications occurred in 69 cases, including 34 cases of patent ductus arteriosus,40 cases of pneumonia, neonatal hypoxic ischemicencephalopathy in 13 cases, 9 cases of pulmonaryhemorrhage, gas leakage in 11 cases, pulmonarydysplasia in 3 cases. Conclusions The majority of neonatal hyaline membrane disease and its complications by dynamic X-ray combined with clinicaldiagnosis, reasonable application of CT and B-mode ultrasonography to detect its complications, contribute to the clinical practice of treatment measures to correct, have important guiding value on the evaluation of prognosis.