CAJ | 학술논문

目的：：探讨床旁CR片在新生儿急危重症患者中的应用价值。方法：回顾性分析我院2012年8月至2013年5月100例共148份新生儿床旁CR片,对CR片投照质量进行评价,并分析其X线表现。结果：148份床旁胸片中,143份符合诊断要求,合格率占96.62％。诊断新生儿肺炎37例(含重症肺炎25例),新生儿肺透明膜病11例,吸入性肺炎5例,新生儿气胸18例,纵隔气肿4例,新生儿湿肺8例,先天性肺不发育或发育不良1例,先天性心脏病5例；小儿坏死性小肠结肠炎症4例,胎粪性腹膜炎2例,气腹及液气腹2例,先天性膈疝3例(含先天性膈肌缺如1例)。结论：CR片拓宽了影像信息,可降低辐射剂量,提高新生儿危急重症患者诊断符合率,大大地满足新生儿危急重症患者的床边X线检查需要,还能有效规避和降低潜在的医疗风险,值得临床推广。
목적：：탐토상방CR편재신생인급위중증환자중적응용개치。방법：회고성분석아원2012년8월지2013년5월100례공148빈신생인상방CR편,대CR편투조질량진행평개,병분석기X선표현。결과：148빈상방흉편중,143빈부합진단요구,합격솔점96.62％。진단신생인폐염37례(함중증폐염25례),신생인폐투명막병11례,흡입성폐염5례,신생인기흉18례,종격기종4례,신생인습폐8례,선천성폐불발육혹발육불량1례,선천성심장병5례；소인배사성소장결장염증4례,태분성복막염2례,기복급액기복2례,선천성격산3례(함선천성격기결여1례)。결론：CR편탁관료영상신식,가강저복사제량,제고신생인위급중증환자진단부합솔,대대지만족신생인위급중증환자적상변X선검사수요,환능유효규피화강저잠재적의료풍험,치득림상추엄。
Objective:To assess the value of bedside CR in the neonatal intensive care unit. Methods:148 plain films of bedside CR in 100 neonates were analyzed in the projection quality and radiologic findings. Results:143 accorded with the criteria in 148 plain films, with coincidence rate of 96. 6%. There were 37 patients with pneumonia of newborn( included 25 patients with Severe pneumonia ) , 11 patients with hyaline membrane disease, 5 patients with aspirated pneumonia, 18 patients with pneumothorax in newborn,4 patients with mediastinal emphesema,8 patients with wet lung of newborn,1 patients with congenital pulmonary hypoplasia,5 patients with congenital cardiopathy,4 patients with necrotizing enterocolitis,2 patients with meconium peritonitis,2 patients with aeroperitoneum and 3 patients with congenital diaphragmatic hernia. Conclusion:The information was increased and the radiation dose was degraded for bedside CR and its diagnosing accordance rates for neonates inintensive care were increased too.