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目的 :通过病理与X线检查的对照观察 ,探讨新生儿肺出血病死率不仅在早产儿中占首位 ,也是足月儿死亡的主要原因 ;方法 :搜集、整理我院 1 995年初— 1 998年 9月1 0 7例新生儿肺出血病历资料 ,做 5 0例新生儿肺出血尸检 ,男婴 3 6例 ,女婴 1 4例 ,进行大体检查 ,常规石蜡切片、HE染色、光镜观察等 ,生前均摄X光胸片 ;结果 :临床诊断肺出血2 0例 (47% ) ,X线诊断肺出血 44例 (88% ) ,尸检证实肺出血 43例 ;结论 :新生儿肺出血病死率极高 ,明显高于平原地区 ,X线是早期诊断新生儿肺出血不可取代的方法。
OBJECTIVE: To investigate the mortality of neonatal pulmonary hemorrhage not only in preterm infants, but also the main cause of death of full-term infants through the comparative observation of pathology and X-ray examination. Methods: To collect and sort out the early1995-1988 Seventy cases of neonatal pulmonary hemorrhage were recorded, 50 cases of neonatal pulmonary hemorrhage autopsy, 36 males and 14 females, for general examination, paraffin sections, HE staining, light microscopy, etc. (47%) were clinically diagnosed as pulmonary hemorrhage, 44 cases (88%) of pulmonary hemorrhage were diagnosed by X-ray, and 43 cases of pulmonary hemorrhage were confirmed by autopsy. Conclusion: The mortality rate of neonatal pulmonary hemorrhage High, significantly higher than the plain, X-ray is an early diagnosis of neonatal pulmonary hemorrhage can not be replaced.