新生儿肺炎362例临床X线研究.doc

新生儿肺炎362例临床X线研究[摘要]目的分析新生儿肺炎的临床特征与X线表现，提高新生儿肺炎的诊断率。方法对我院2002年1月～2009年12月362例新生儿肺炎的临床资料及X线资料进行回顾性分析。结果362例中，271例临床症状及肺部体征与X线表现相符，占74.9%；X线表现为肺纹理增多和（或）肺门影模糊（192例、53.0%），双肺多发点状及小片状阴影（89例、24.6%），单发或者多发的斑片状阴影（52例、14.4%），全叶性或节段性肺实质浸润阴影（19例、5.2%），间质条纹状阴影（33例、9.1%），支气管气象（48例、13.3%），急性肺膨胀征（21例、5.8%），心后影征（17例、4.7%）上纵隔心缘、横膈模糊征（22例、6.1%）局限性肺气肿（18例、5.0%）并发叶间胸膜反应（6例、1.7%），气胸（10例、2.8%），肺不张（13例、3.6%）、肺出血及心力衰竭（13例、3.6%）。结论新生儿肺炎临床表现，X线表现多样，胸部拍片是诊断新生儿肺炎必不可少的手段，应密切结合临床特征，注重胸片拍片读片的质量，提高新生儿肺炎的诊断率。 [关键词]新生儿； 肺炎； X线 [中图分类号] R722.13+5[文献标识码]A [文章编号] 1005-0515（2010）-10-001-01 362 cases of neonatal pneumonia clinical X-ray analysis MAOWei-liang [Abstract]ObjectiveTo analyze the clinical features of neonatal pneumonia and X-ray findings, to improve the diagnostic rate of neonatal pneumonia. MethodsHospital from January 2002 to December 2009 362 cases of neonatal pneumonia and the X-clinical data were retrospectively analyzed. Results362 cases, 271 cases of pulmonary symptoms and signs consistent with the X-ray findings. Accounted for 74.9%; X ray showed increased lung markings, and (or) the hilar shadow blur (192 cases, 53.0%), lungs multiple small pieces and dot shadows (89 patients, 24.6%) of single or multiple patchy shadows (52 patients, 14.4%), whole leaf, or segmental pulmonary infiltration shadows in real terms (19 cases, 5.2%) interstitial shadow stripe (33 cases, 9.1%), bronchial weather (48 cases, 13.3%), symptoms of acute lung inflation (21 cases, 5.8%), heart post-impact syndrome (17 cases, 4.7%), mediastinum Xinyuan, diaphragmatic vague symptoms (22 cases, 6.1%), the limitations of emphysema (18 cases, 5.0%) complicated with interlobar pleural reaction (6 patients, 1.7%), pneumothorax (10 cases, 2.8%), pulmonary Zhang (13 cases, 3.6%), pulmonary hemorrhage and heart failure (13 cases, 3.6%).. ConclusionsThe clinical manifestations of neonatal pneumonia, X-ray and diverse, the chest film was indispensable means for the diagnosis of neonatal pneumonia, should be close