Визначення ступеня тяжкості розсіяних ателектазів легень у недоношених новонароджених з екстремально малою масою тіла за даними рентгенографії

The aim of our research is in improvement of diagnostics of diffuse lung atelectasis (DLA) in preterm infants with extremely low body weight by X-ray data by the way of objectivization of its severity grade.Methods of research: We analyzed the data of X-ray photographs of breast organs (BO) of 13 preterm infants with extremely low body weight that DLA was diagnosed in. Among them were 8 boys and 5 girls. X-ray photographs of 15 children with extremely low body weight without DLA were studied as the group of comparison.Results: Statistical analysis of the data that characterized DLA in preterm children with extremely low body weight was carried out. At the study of X-ray photographs of BO of the control group, there were not detected the focal shades along the lung fields, diaphragm cupolas were placed not higher than 6 rib and cardiothoracic index did not exceed 55.In studied group the prevalence of focal shades up to the one third of lung field was observed in 2 children (15,38 %), up to two thirds of lung field– 5 preterm infants (38,46 %) and along all lung fields in 6 children (46,15 %).The displacement of right cupola of diaphragm to the 6 rib was observed in 3 children (23,08 %), to the level of 5 rib – 4 children (30,77 %), to the level of 4 rib and higher – 6 children (46,15 %).Cardiothoracic index within 55-57 was observed in 4 preterm infants (30,77 %), in 5 children (38,46 %) index was 58-60 and in 6 children exceeded 61.Conclusion: The researches allowed divide the diffuse lung atelectasis in preterm infants with extremely low body weight in three severity grades by X-ray dataМетою нашого дослідження було покращення діагностики розсіяних ателектазів легень (РАЛ) у недоношених новонароджених з екстремально низькою масою тіла за рентгенограмметричними даними шляхом об’єктивізації ступеня його тяжкості. Проведені дослідження дозволили розподілити РАЛ у недоношених новонароджених з екстремально низькою масою тіла за рентгенограмметричними даними на три ступені тяжкост