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中华妇幼临床医学杂志(电子版) ›› 2019, Vol. 15 ›› Issue (03) : 343 -348. doi: 10.3877/cma.j.issn.1673-5250.2019.03.016

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综述

早产儿肺及早产儿肺疾病的影像学评估价值
谢淋旭1, 宁刚1,()   
  1. 1. 四川大学华西第二医院放射科、出生缺陷与相关妇儿疾病教育部重点实验室,成都 610041
  • 收稿日期:2019-01-06 修回日期:2019-05-08 出版日期:2019-06-01
  • 通信作者: 宁刚

Imaging evaluation of immature lung and pulmonary diseases in premature infants

Linxu Xie1, Gang Ning1,()   

  1. 1. Department of Radiology, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
  • Received:2019-01-06 Revised:2019-05-08 Published:2019-06-01
  • Corresponding author: Gang Ning
  • About author:
    Corresponding author: Ning Gang, Email:
  • Supported by:
    National Key Research and Development Program of China(2017YFC0109004)
引用本文:

谢淋旭, 宁刚. 早产儿肺及早产儿肺疾病的影像学评估价值[J/OL]. 中华妇幼临床医学杂志(电子版), 2019, 15(03): 343-348.

Linxu Xie, Gang Ning. Imaging evaluation of immature lung and pulmonary diseases in premature infants[J/OL]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2019, 15(03): 343-348.

呼吸系统疾病已成为导致我国早产儿死亡的主要原因之一。由于产前糖皮质激素促胎肺成熟治疗、肺表面活性物质(PS)及各种类型呼吸支持技术等的应用,临床诊治该类疾病的策略日趋成熟,对于早产儿呼吸系统常见疾病的诊治,大多具备各自的指南和临床路径。目前临床对于该领域的研究热点,多集中于早产儿肺及其疾病的基因研究、早期干预方式的选择和精准化诊治等方面。笔者拟就早产儿肺及早产儿肺疾病的病理生理基础、影像学表现及其转归的最新研究进展进行阐述,以探讨影像学检查在早产儿肺及其肺疾病中的临床应用价值,辅助临床实现对早产儿肺疾病的精准化诊治。

Respiratory diseases have become one of the leading causes of death in premature infants in China. Due to the application of prenatal glucocorticoid for the treatment of fetal lung maturation, pulmonary surfactant (PS), various types of respiratory support technologies, clinical diagnosis and treatment strategies for respiratory diseases are more effective, and the diagnosis and treatment of most of the common respiratory diseases of premature infants have their own guidelines and clinical pathways. At present, most of the clinical research hotspots of respiratory diseases focus on genes research, early intervention methods and precise diagnosis and treatment of immature lung and pulmonary diseases in premature infants. This article intends to elaborate on the pathological basis, imaging findings and outcomes of common pulmonary diseases in premature infants and immature lung, to explore the clinical value of imaging examination in pulmonary diseases of premature infants and immature lung, and to assist in the clinical implementation of accurate diagnosis and treatment of pulmonary diseases in premature infants.

表1 新生儿重症监护病房患儿肺MRI放射学评分表
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