Ponhold W
Rontgenblatter. 1981 Oct;34(10):375-8.
The radiological signs of transient tachypnoea are analysed via a study conducted with 9 children suffering from this disturbance of respiratory adaptation. The main signs are reticulonodular structural increases on both sides and extended vessels with unsharp outlines; to a lesser extent, marked small interlobar fissure, signs of an expiratory disturbance of ventilation, and cardiomegaly are seen also. Differentiation against hyaline membranes is easy and delineation against pneumonic and haemorrhagic infiltrations is usually not at all difficult. However, it may be less easy to differentiate between a relatively severe transient tachypnoea and cardiac left decompensation, since the radiological signs resemble each other. Assessment of a chest x-ray film of the newborn should be evaluated in such cases only if the clinical pattern of signs is known, since this is the only way to obtain adequate radiological clarification.
通过对9名患有这种呼吸适应障碍的儿童进行的一项研究，分析了短暂性呼吸急促的放射学征象。主要征象为双侧网状结节状结构增多以及血管增粗、轮廓不清；在较小程度上，还可见明显的小叶间裂、呼气性通气障碍征象及心脏扩大。与透明膜病的鉴别容易，与肺炎和出血性浸润的鉴别通常也毫无困难。然而，相对严重的短暂性呼吸急促与心脏左心功能不全之间的鉴别可能不那么容易，因为放射学征象彼此相似。仅当已知体征的临床模式时，才应在这种情况下评估新生儿的胸部X光片，因为这是获得充分放射学诊断的唯一方法。
