透明膜病中的呼气期胸片：初步观察

The expiratory film in hyaline membrane disease: preliminary observations.

作者信息

Johnson J F, Dean B L

出版信息

AJR Am J Roentgenol. 1982 Jul;139(1):31-4. doi: 10.2214/ajr.139.1.31.

DOI:10.2214/ajr.139.1.31

Abstract

The chest radiographs of 10 babies who developed an abrupt diffuse pulmonary parenchymal opacification in conjunction with pulmonary hemorrhage, pulmonary edema, or pneumonia as a complication of hyaline membrane disease were reviewed. The chest radiographs of these 10 babies were compared to five radiographs obtained with various degrees of expiration in four babies with uncomplicated hyaline membrane disease. The comparison indicates that analysis of air bronchograms facilitates discrimination of pulmonary opacification due to filming in expiration from pathologic diffuse parenchymal opacification in babies with hyaline membrane disease. Expiration produces constriction and centralization of air bronchograms. Alveolar filling processes are associated with distension and peripheral extension of air bronchograms.

摘要

回顾了10例患有透明膜病并发症（伴有肺出血、肺水肿或肺炎）并出现突发弥漫性肺实质浑浊的婴儿的胸部X光片。将这10例婴儿的胸部X光片与4例患有单纯透明膜病的婴儿在不同程度呼气状态下获得的5张X光片进行了比较。比较结果表明，对空气支气管造影的分析有助于区分因呼气时拍摄导致的肺部浑浊与透明膜病婴儿病理性弥漫性实质浑浊。呼气会使空气支气管造影变窄并向中心聚集。肺泡填充过程则与空气支气管造影的扩张和外周延伸相关。