Friday, March 21, 2008

Neonatal hyaline membrane disease in the differential diagnosis

Following the disease to disease and differential. 1. Wet lung Wet lung was particularly prevalent in full-term infants, Clinical symptoms of less serious breathing difficulties, lung X-ray findings of an extensive, and is different from hyaline membrane disease, which we can identify. 2. Group B β - hemolytic streptococcus infection Intrauterine infection of the disease caused by neonatal pneumonia or sepsis, pulmonary symptoms and X-ray findings with similar hyaline membrane disease, pulmonary pathological examination also transparent membrane formation. However, the pregnant mother of the baby late in pregnancy or childbirth infection history before history of premature rupture of membranes. In the absence of such identification difficult history. According to sepsis or pneumonia with antibiotics for diagnostic treatment, help identification. 3. Persistent pulmonary hypertension Also known as continuous fetal circulation or continuing transitional blood circulation is defined as newborns after birth longer maintain pulmonary hypertension, the type of fetus from the transition to adult type of blood circulation, the existence of a right to left shunt. Both occurred in full-term infants, the majority of non-labor suffocation. The time of birth or birth within 24 hours that appeared cyanotic, shortness of breath, cardiac auscultation even heard of pulmonary hypertension caused by systolic murmur. X-ray visible heart enlargement, amniotic fluid or incomplete lung expansion inhalation, displayed visible spot-shaped shadow. Echocardiographic Detection of pulmonary hypertension can be funded differential. 4. Aspiration Syndrome Hyaline membrane disease occurred in childhood to suffocation and aspiration syndrome identification, the latter X-ray showed emphysema and patch shadow can be identified.

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