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新生儿呼吸窘迫:胸部X线片评估

Respiratory distress in newborn: evaluation of chest X-rays.

作者信息

Roggini M, Pepino D, D'Avanzo M, Andreoli G M, Ceccanti S, Capocaccia P

机构信息

Servizio Speciale di Radiologia Pediatrica, Policlinico Umberto I, Università degli Studi La Sapienza, Roma.

出版信息

Minerva Pediatr. 2010 Jun;62(3 Suppl 1):217-9.

PMID:21089745
Abstract

We discuss the anatomic and pathophysiological patterns of preterm and term newborn. Particular attention is directed to technical artefacts relating to the interpretation of chest radiography. We analyze the reading of chest X-Ray of preterm with low birth weight and poor lung maturation. Are also taken into account X-Ray features relating to alveolar "recruitment" and radiographic changes after surfactant's administration. We highlight the most important paintings of bruncopulmonary dysplasia and its evolution. The most frequent neonatal pulmonary inflammation and thoraco-pulmonary malformation, that may affect more the neonatologist, are mentioned. We discuss the new diagnostic approach with non invasive techniques (ultrasound) in the neonatal distress. Some easily recognizable congenital heart disease are finally describes.

摘要

我们讨论了早产和足月新生儿的解剖学和病理生理学模式。特别关注与胸部X光片解读相关的技术伪影。我们分析了低出生体重且肺成熟度差的早产儿胸部X光片的解读。还考虑了与肺泡“复张”以及表面活性剂给药后影像学变化相关的X光特征。我们强调了支气管肺发育不良的最重要影像及其演变。提到了最常见的可能对新生儿科医生影响更大的新生儿肺部炎症和胸肺畸形。我们讨论了在新生儿窘迫中使用非侵入性技术(超声)的新诊断方法。最后描述了一些易于识别的先天性心脏病。

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BMC Med. 2025 Feb 24;23(1):114. doi: 10.1186/s12916-025-03879-5.
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Assessment of chest X-ray images in newborns with respiratory disorders.患有呼吸系统疾病的新生儿胸部X光图像评估。
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New surfactant with SP-B and C analogs gives survival benefit after inactivation in preterm lambs.新型表面活性剂含 SP-B 和 C 类似物,可使早产羔羊失活后获得生存获益。
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