【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ARDS3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。更多还原

【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.更多还原