- 期刊
- OpenAccess
RADIOLOGICAL MANIFESTATIONS IN NEONATAL PNEUMONIA
新生兒肺炎的放射線徵象
摘要
The chest radiographs of 37 neonates under the diagnosis of neonatal penumonia with positive blood or body fluid cultures during a period of 7 years were reviewed. The premature babies accounted for 35% among all patients in the study. The most common pathogenic microorganism is staphylococcus. These radiographic changes included hyperaeration in 62%, air bronchogram in 60%, pleural change or effusion in 49%, bilateral alveolar densitites in 27%, reticular, reticulonodular infiltrates in 27% involution of thymus in 27%, parahilar peribronchial infiltrates in 19% and diffuse fine granular densities in 11%. Two cases in the study had normal chest films. Most of the infants presented with signs of respiratory distress (cyanosis, tachypnea and apnea). A combination of clinical and radiographic findings would yield a high accuracy in the diagnosis of neonatal pneumonia.
並列摘要
我們回顧七年來，37位新生兒肺炎的胸部X光片，同時這些肺炎病人需合併陽性血液或體液培養。早產兒佔了所有病人的百分之三十五。最常見的病原細菌是葡萄球菌。在這些放射線變化中，肺部過度充氣佔62％，氣體支氣管影像（air-bronchogram）佔60％，胸膜變化或積水佔49％，兩側肺泡濃密變化（alveolar densities）佔27％，網狀或網形結節狀肺部浸潤佔27％，胸腺退化佔27％，肺門旁氣管四周（parahilar-peribronchial）浸潤佔19％和瀰漫性細子顆粒性變化佔11％。兩位病人呈現正常胸部X光片。大部分病人呈現呼吸窘迫（發紺、氣促和呼吸暫停）等症狀。假如合併臨床和放射線等徵象，將可提高新生兒肺炎的診斷率。