the neonatal chest X-ray课件.ppt

MAS most commonly in term or post-mature babies following inhalation of meconium-stained liquor during delivery.分娩时吸入羊水污染的胎粪 Meconium causes bronchial occlusiona闭塞，which is associated with severe inflammatory response and secondary surfactant deficiency. 表面活性物质缺乏 The chest X-ray shows widespread patchy infiltrates associated with peripheral hyperinflation ，a pleural effusion，斑片状浸润与周边肺充气 air leaks, pulmonary haemorrhage and persistent pulmonary hypertension may develop * the case is MAS with heterogeneous pulmonary infiltrates in association with hyperinflated lungs. Note the area of focal hyperinflation in the right costophrenic angle. * Neonatal pneumonia occurs following infection with organisms acquired transplacentally, inhalation of infected amniotic fluid and contamination from the birth canal during delivery. 经胎盘、吸入污染的羊水、产道分娩产生的感染 chest X-ray may show patchy or confluent pulmonary infiltrates typical of infection or increased interstitial shadowing (Fig. 10). infants with pneumonia generally show marked systemic illness in contrast to infants with IRDS . * The case is Group B streptococcal [,str?pt?kɑk?l] pneumonia.； THE Xray shows widespread interstitial shadowing with more confluent alveolar consolidation at the left bases and fluid in the horizontal [h?r?z?nt(?)l] fissure[f???] (arrow). * 1.The aetiology of many pleural effusions remains unresolved but infective, lymphatic and cardiac causes should be considered. 2.The X-ray shows a generalised increase in opacification of the lung, 3.large pleural fluid may displace the lung edge away from the costal margin and cause mediastinal shift to the contralateral side. chylous effusions may occur in association with pulmonary lymphangiectasia, The disorder may is characterised by diffuse coarsely nodular or reticular pulmonary shadowing and is associated with CHD or generalised lymphatic abnormalities.弥漫性肺结节状或网状粗阴影。 * 11胸水 The case is large bilateral pleural effusions of unknown aetiology