| 摘要: |
| ［摘要］ 目的 探讨新生儿期急性呼吸窘迫综合征(ARDS)的临床与胸部X线表现。方法 回顾性分析14例新生儿期ARDS患儿的胸部X线表现、部分复查改变以及临床症状、血气表现等资料。结果 肺透亮度下降，呈毛玻璃状10例；双肺弥漫斑片状渗出灶4例；大片状渗出灶1例，支气管充气征5例；“白肺”3例；伴发肺气肿12例；3例复查X线片，好转2例，加重1例；早产儿呼吸窘迫综合征（NRDS）后ARDS 3例；X线与临床表现、血气分析结果基本符合。结论 新生儿期ARDS的X线表现有其特点，是重要的临床诊断指标；X线征与临床症状、血气测定结果各自反映某一阶段的病情与特征，应前后结合进行对照分析。 |
| 关键词: 新生儿 急性呼吸窘迫综合征 放射摄影术 |
| DOI：10.3969/j.issn.1674-3806.2009.08.05 |
| 分类号:R 722.12 |
| 基金项目:湛江市科技攻关项目（项目编号：2007C07024） |
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| Clinical and X-ray findings of acute respiratory distress syndrome in newborns |
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YOU Jian-xiong, WEI Xiong, CHEN Wen-rui, et al.
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Department of Radiology, Zhanjiang Centre Hospital, Guangdong 524037, China
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| Abstract: |
| ［Abstract］ Objective To explore the clinical manifestations and chest X-ray findings of acute respiratory distress syndrome (ARDS) in newborns.Methods The data of 14 newborns with ARDS were retrospectively analysed, the data included chest X-ray findings, change in part of the review, clinical symptoms, and blood gas performance.Results X-ray findings included lung permeability decreased brightness, with ground-glass-shaped in 10 cases; lungs diffuse pacth exudative lesions in 4 cases of; large sheet exudative lesions in 1 cases, bronchial inflatable sign in 5 cases; “white lung” in 3 cases; of 3 cases which were reviewed, improvement of the performance in 2 cases, increase in the 1 cases; and X-ray findings was basically identical with clinical and blood gas findings.Conclusion The X-ray manifestations of the newborns of ARDS has its own characteristics, is an important diagnostic indicators; X-ray findings, clinical symptoms, and blood gas reflects their performance of a certain stage.therefore, the pre-and post control and their combination was important to the diagnosis of ARDS. |
| Key words: Newborn infant Acute respiratory distress syndrome Radiography |
