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目的:研究诊断新生儿气胸时X线及CT检查方法的临床应用价值。方法:选择嘉兴市妇幼保健院2009年8月-2012年8月间120例出现气胸的新生儿患者,所有患儿均拍摄了胸部前后仰卧位X线片,116例患儿随后又进行多次胸片随访,其中20例患者还进行了胸部CT扫描。结果:进行X线检查得出41侧为少量气胸,22例需要外科引流术或者穿刺抽气;79例有多量气胸,其中71例需要进行外科处理。结论:新生儿气胸进行前后仰卧位X线胸片基本可以满足临床诊断的需要,但如果仅为一侧肺野透过度增强,膈面和心缘非常清晰锐利,则可诊断为多量气胸,对于该类患者,应用CT影像学检查可以增加诊断准确性。
Objective: To study the clinical value of X-ray and CT examination in the diagnosis of neonatal pneumothorax. Methods: 120 cases of neonates with pneumothorax were selected from Jiaxing MCH hospital from August 2009 to August 2012. All children were photographed with supine chest radiographs and 116 cases were followed up Chest radiographs were followed up and 20 of the patients underwent chest CT scans. Results: There was a small amount of pneumothorax on the 41 side of the X - ray examination. Surgical drainage or aspiration was required in 22 cases. A large amount of pneumothorax was found in 79 cases, of which 71 cases needed surgical treatment. Conclusion: Neonatal pneumothorax before and after the supine X-ray can basically meet the needs of clinical diagnosis, but if only on one side of the lung field increased permeability, diaphragmatic and cardiac edge is very clear and sharp, you can diagnose a large number of pneumothorax, for Such patients, the application of CT imaging can increase the diagnostic accuracy.