Rémy J, Beguery P, Dupuis C, Rey C
J Radiol Electrol Med Nucl. 1975 Mar;56(3):253-64.
Numerous causes exist for disturbances in pulmonary ventilation in the newborn and infant. Amongst the exobronchic causes, those of cardiovascular origin are not rare. The difficulty in radiological diagnosis varies in relation with the anatomo-radiological appearance of the lesions and their aetiology. Ventilation disturbances are not always obvious. Simple techniques (high penetration films, oblique views, films in inspiration and expiration) make possible the topographical localisation of the lesions and the detection of any obstructive factor. These films should also be adequate as far as the aetiological diagnosis is concerned: severe left-right shunt, pulmonary valve agenesis, fibro-elastosis, retrotracheal left pulmonary artery. Obviously, angiocardiography is often necessary to confirm and accurately determine the nature of the "cardiovascular" lesion responsible. Such disturbances of pulmonary ventilation may either reveal or complicate a cardiac or vascular disorder in the newborn or infant. They often present marked therapeutic problems.
新生儿和婴儿肺通气障碍存在多种原因。在外支气管性病因中，心血管源性病因并不少见。放射学诊断的难度因病变的解剖放射学表现及其病因不同而有所差异。通气障碍并不总是很明显。简单的技术（高穿透力胸片、斜位片、吸气和呼气时的胸片）能够对病变进行定位，并检测出任何阻塞因素。就病因诊断而言，这些胸片也应足够：严重的左右分流、肺动脉瓣发育不全、纤维弹性组织增生症、气管后左肺动脉。显然，心血管造影术通常对于确诊并准确判定所患“心血管”病变的性质是必要的。这种肺通气障碍可能会揭示新生儿或婴儿的心脏或血管疾病，或者使其复杂化。它们常常带来显著的治疗难题。
