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目的探讨胸腹联片与C T对新生儿肺炎的诊断价值,为新生儿肺炎的诊断与治疗提供参考。方法选择2 0 1 3年1月-2 0 1 4年5月在鹤岗市妇幼保健院进行治疗的3 5例疑似新生儿肺炎的患者做为观察对象,3 5例新生儿均接受胸腹联片及C T检查,比较胸腹联片与C T的诊断率及表现差异。结果 3 5例患者在胸腹联片检查过程中未出现典型的斑片状浸润病灶,2 4例患者(6 8.5 7%)表现为肺纹理模糊、增多、扭曲,1 1例患者(3 1.4 3%)表现为肺门增大并模糊。2 9例患者(8 2.8 6%)表现为肺气肿征。3 5例患者在C T下均表现出肺部内部小斑片状阴影,单发1 5例(4 2.8 6%),双发2 0例(57.14%)。胸腹联片X线诊断率与临床诊断符合率为2 2/3 5(62.86%)。C T诊断率与临床诊断符合率为3 0/3 5(85.71%),C T诊断率明显高于胸腹联片X线诊断率,差异有统计学意义(χ2=1 1.7 9 1,P<0.0 1)。结论新生儿肺炎胸腹联片及C T都具有特异性表现,但C T的诊断率高于胸腹联片,在临床治疗过程中可根据情况具体选择。
Objective To investigate the diagnostic value of thoracic and abdominal combined with C T on neonatal pneumonia and provide a reference for the diagnosis and treatment of neonatal pneumonia. Methods 35 cases of suspected neonatal pneumonia treated in Hegang MCH from May 2010 to May 2014 were selected as the observation subjects and 35 newborn infants underwent chest and abdomen Joint films and CT examination, chest and abdomen film and CT diagnosis rate and performance differences. RESULTS: Twenty-five patients (24.5%) had no typical patchy infiltrates in the thoracic-abdominal examination. Thirty-two patients (13.5% 3%) showed hilar enlargement and blurred. 29 patients (82.8%) showed signs of emphysema. Thirty five patients showed small patchy shadow inside the lungs under CT, 15 cases (42.86%) and 20 cases (57.14%) respectively. The coincidence rate of X-ray diagnosis rate and clinical diagnosis of thoracic and abdominal radiographs was 2 2/3 5 (62.86%). The coincidence rate of CT diagnosis and clinical diagnosis was 3 0/3 5 (85.71%). The diagnostic rate of CT was significantly higher than that of X-ray diagnosis of thoracic and abdomen, the difference was statistically significant (χ2 = 1 1.7 9 1, P <0.0 1). Conclusion Neonatal pneumothorax combined with chest and abdomen and C T have specific performance, but the diagnostic rate of C T is higher than that of thoraco-abdomen. It can be selected according to the situation during clinical treatment.