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首页> 外文期刊>Radiology >Neonates with congenital diaphragmatic hernia: radiographic findings during partial liquid ventilation.
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Neonates with congenital diaphragmatic hernia: radiographic findings during partial liquid ventilation.

机译：先天性diaphragm肌疝的新生儿：部分液体通气期间的影像学表现。

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PURPOSE: To determine the serial radiographic appearance of the lungs of neonates who underwent partial liquid ventilation with perflubron because of congenital diaphragmatic hernia (CDH) or primary pulmonary hypertension. MATERIALS AND METHODS: Bedside anteroposterior (AP) and lateral chest radiographs (n = 235) were scored for percentage of lung opacification by perflubron during partial liquid ventilation (PLV) and extracorporeal membrane oxygenation (ECMO). Five neonates participated in the study; four had CDH, and one had primary pulmonary hypertension. RESULTS: The lungs were opacified nearly completely after each dose of perflubron. The degree of opacification was the same on 117 of 169 (69%) AP radiographs and within one point on another 40 (24%). A gravity-dependent distribution was shown on 58 of 66 (88%) lateral radiographs. A minimal amount of perflubron remained in the lungs after 5.2 days. A hypoplastic bronchus and ipsilateral lung were manifest in all four of the patients with CDH afterthe airway and lung were filled with radiopaque perflubron. CONCLUSION: Lungs filled with perflubron were opacified to a similar degree in a gravity-dependent distribution. Evaporation of perflubron from the lungs of neonates is relatively rapid. The size of the ipsilateral bronchus and lung may be estimated by comparison of radiographs taken before and after the lungs were filled with perflubron.
机译：目的：确定因先天性diaphragm肌疝（CDH）或原发性肺动脉高压而接受全氟龙进行部分液体通气的新生儿的肺部放射学影像学表现。材料与方法：在部分液体通气（PLV）和体外膜氧合（ECMO）期间，通过全氟醚对床旁前后（AP）和胸部侧面X光片（n = 235）进行评分。五名新生儿参加了研究。 4例患有CDH，1例患有原发性肺动脉高压。结果：每次灌注氟哌隆后，肺几乎完全不透明。 169幅AP片中的117幅（69％）的乳浊度是相同的，另外40幅（24％）的一点乳浊度是相同的。与重力有关的分布显示在66幅侧向X线照片中的58张（88％）上。 5.2天后，在肺中残留了少量的全氟龙。在所有四位CDH患者中，气道和肺充满了不透射线的全氟溴酸钠后，均表现出发育不良的支气管和同侧肺。结论：充满全氟龙的肺在与重力有关的分布中达到相似的乳浊度。新生儿全肺中全氟龙的蒸发相对较快。同侧支气管和肺的大小可通过比较在肺内充满全氟苯之前和之后拍摄的射线照片来估计。

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