浅谈床边移动DR技术在诊断新生儿呼吸窘迫综合征中的价值
摘要：目的 通过对床边移动DR技术在诊断新生儿呼吸窘迫综合征的观察与统计，评价其应用价值，以提高早期诊断水平。方法 随机抽取我院2014年12月～2016年6月经临床与移动DR床边诊断确诊并接受治疗的NRDS患儿45例，对其进行回顾性分析。结果 45例患儿中Ⅰ级 21例，Ⅱ级12例，Ⅲ级6例，Ⅳ级6例；合并肺炎17例，气胸14例，肺出血2例，先天性动脉导管未闭7例。经过NCPAP辅助吸氧及牛肺表面物质替代治疗后，40例患儿好转。NRDS的主要X线表现为两肺野亮度减低，肺内颗粒状及小片状影，心缘膈面模糊，可见"支气管充气征"。结论 新生儿呼吸窘迫综合征的X线诊断具有其特征性表现，床边移动DR技术是其重要的检查方法之一，结合患儿临床表现，有助于临床的早期诊断与治疗。
关键词：新生儿呼吸窘迫综合征；床边移动DR；肺表面活性物质
Abstract：Objective Through to the DR bedside chest radiography in the diagnosis of neonatal respiratory distress syndrome observation and statistics， and evaluate its application value，In order to improve the early diagnosis level. Methods Randomly selected from January 2014.12～2016.7 menstrual clinical and DR bedside chest radiography diagnosis of diagnosis and treatment of children with NRDS， 45 cases were retrospectively analyzed. Results 45 cases had 21 cases in grade Ⅰ ， 12 cases in grade Ⅱ， 6 cases in grade Ⅲ， 6 cases in grade Ⅳ； Merger of 17 cases of pneumonia， 14 cases aerothorax， pneumorrhagia in 2 cases， pediatric patent ductus arteriosus in 7 cases. After NCPAP auxiliary oxygen and Pulmonary Surfactant replacement therapy ，there are 40 cases become better. NRDS"s main X-ray show the lungs granular and small patchy shadows， two lung field intensity reduction， heart margin diaphragmatic surface blur， visible " air broncus diserse". Conclusion The X-ray diagnosis of neonatal respiratory distress syndrome has its characteristic.The DR bedside chest radiography is one of the important examinatio...
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