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目的探讨新生儿肺透明膜病(HMD)的X线平片表现及诊断价值。方法选取2012年2月~2014年2月该院收治的HMD患儿94例为研究对象,所有研究对象均予以X线检查,回顾性分析其临床资料,记录其X线平片表现情况。结果94例HMD患儿X线片结果均为2级及以上,其中2级35例(37.2%)、3级49例(52.1%)、4级10例(10.6%);新生儿体重、胎龄及发病时间均与X线分级呈负相关性;X线分级为2级者出现并发症12例(34.3%),其中6例(17.1%)出现2种以上并发症,死亡3例(8.6%);X线分级为3、4级者并发症发生率均为100.0%,出现2种以上并发症者分别为30例(61.2%)和8例(80.0%),死亡率分别为24.5%和60.0%。结论 X线检查可作为HMD早期诊断及预后质量评估的重要依据,值得临床推广。
Objective To investigate the manifestations and diagnostic value of X-ray of neonatal hyaline membrane disease (HMD). Methods From February 2012 to February 2014, 94 children with HMD were enrolled in this study. All subjects were examined by X-ray. The clinical data were retrospectively analyzed and their X-ray findings were recorded. Results The results of X-ray in 94 children with HMD were grade 2 and above, of which 35 were grade 2 (37.2%), 49 were grade 3 (52.1%), 10 were grade 4 (10.6% Age and onset time were negatively correlated with X-ray grading. Complications were found in 12 cases (34.3%) in X-ray class 2, of which 6 (17.1%) had more than 2 complications and 3 died %). The complication rates were 100.0% for those with grade 3 and 4, and 30 (61.2%) and 8 (80.0%) for 2 or more complications respectively. The mortality rates were 24.5% And 60.0%. Conclusion X-ray examination can be used as an important basis for the early diagnosis of HMD and prognosis quality evaluation, worthy of clinical promotion.