CAJ | 학술논문

目的研究分析X线在新生儿湿肺病诊断当中的应用，以提高新生儿湿肺病临床诊断的水平。方法自2008年11月至2010年11月期间，我院收治的患有新生儿湿肺疾病的78例患者作为此次的研究对象，回顾性分析所有患者的临床表现与拍摄胸部X线片的变化。结果 X线显示有52例为肺泡积液，所占比例为67%；有5例为胸腔及胸膜积液，所占比例为6%，胸腔积液主要表现是肺野外带靠胸壁呈现密度增高带状影，一侧的肋膈角出现钝化；有11例为肺间质积液，所占比例为14%；有3例为肺部淤血，所占比例为4%；有7例为肺气肿征，所占比例为9%，肺部呈现局部或全部肺野透亮程度的加深；有5例为心影纵横式增宽或增大。结论X线征象检查有利于早发现新生儿湿肺病症变化情况，针对具有潜在湿肺病危险因素的足月新生儿应给予全面的监护，如出现可疑病症应及时进行X线胸片拍摄检查及复查，以提高新生儿湿肺病的诊断水平。
목적연구분석X선재신생인습폐병진단당중적응용，이제고신생인습폐병림상진단적수평。방법자2008년11월지2010년11월기간，아원수치적환유신생인습폐질병적78례환자작위차차적연구대상，회고성분석소유환자적림상표현여박섭흉부X선편적변화。결과 X선현시유52례위폐포적액，소점비례위67%；유5례위흉강급흉막적액，소점비례위6%，흉강적액주요표현시폐야외대고흉벽정현밀도증고대상영，일측적륵격각출현둔화；유11례위폐간질적액，소점비례위14%；유3례위폐부어혈，소점비례위4%；유7례위폐기종정，소점비례위9%，폐부정현국부혹전부폐야투량정도적가심；유5례위심영종횡식증관혹증대。결론X선정상검사유리우조발현신생인습폐병증변화정황，침대구유잠재습폐병위험인소적족월신생인응급여전면적감호，여출현가의병증응급시진행X선흉편박섭검사급복사，이제고신생인습폐병적진단수평。
Objective To study the X-ray analysis in the diagnosis of lung disease among newborns wet appli-cations to improve the clinical diagnosis of neonatal lung wet level. Methods From November 2008 to November 2010, 78 patients with neonatal wet lung disease in our hospital as the object of study, a retrospective analysis of the clinical manifestations of change in all patients with chest X-ray taken of. Results X line technical examination showed that 52 cases of alveolar fluid, the proportion was 67%; had 5 cases of pleural and pleural effusion, the pro-portion was 6%, pleural effusion is mainly packed by lung chest showed increased density ribbon shadow side costophrenic angle appears passivation; 11 cases of pulmonary interstitial fluid, the proportion was 14%; there were 3 cases of lung congestion, the proportion was 4%; there are 7 cases of emphysema symptoms, the proportion was 9%, partial or total lung lungs showed the deepening translucent; 5 cases of heart shadow crossbar widened or increased. Conclusion X-ray signs checks in favor of early detection of neonatal lung disease changes in the wet, wet for the full-term newborns with potential risk factors for lung disease should be given full custody, such as suspicious symp-toms should be promptly taken x-ray examination and review, in order to improve the diagnosis of neonatal wet lung disease.