CAJ | 학술논문

目的：探讨新生儿肺气漏的 X 线和 CT 表现,提高早期诊断能力。方法回顾性分析33例新生儿肺气漏的 X 线片,其中5例行 CT 扫描,30例复查 X 线片。结果肺间质气肿2例,纵隔积气4例,单纯气胸14例,肺间质气肿伴纵隔积气2例、伴气胸4例,纵隔积气并发气胸3例,肺间质气肿、纵隔积气与气胸并存4例。其中内侧气胸26侧,外侧气胸9侧。结论 X 线片是诊断新生儿肺气漏的主要手段,CT 检查能进一步明确肺气漏的部位、范围及程度。
목적：탐토신생인폐기루적 X 선화 CT 표현,제고조기진단능력。방법회고성분석33례신생인폐기루적 X 선편,기중5례행 CT 소묘,30례복사 X 선편。결과폐간질기종2례,종격적기4례,단순기흉14례,폐간질기종반종격적기2례、반기흉4례,종격적기병발기흉3례,폐간질기종、종격적기여기흉병존4례。기중내측기흉26측,외측기흉9측。결론 X 선편시진단신생인폐기루적주요수단,CT 검사능진일보명학폐기루적부위、범위급정도。
Objective To discuss the X-ray and CT findings of pulmonary air leak in neonates and to improve the early diagnostic ability.Methods The supine anteroposterior chest films of 33 neonates with pulmonary air leak were retrospectively analyzed.A-mong them,spiral CT scanning was performed in 5 cases.Radiographic follow-up was made in 30 cases.Results Pulmonary intersti-tial emphysema was found in 2 cases,pneumomediastinum in 4 cases,simple pneumothorax in 14 cases.Pulmonary interstitial em-physema combined with pneumomediasfinum was detected in 2 cases,with pneumothorax in 4 cases.Pneumomediastinum combined with pneumothorax was displayed in 3 cases.Pulmonary interstitial emphysema combined with pneumomediastinum and pneumotho-rax was found in 4 cases.Among them,medial pneumothorax was shown in 26 side,lateral pneumothorax in 9 side.Conclusion X-ray radiography is the main method for the diagnosis of pulmonary air leak in neonates,and CT can further define the location,range and extent of the disease.