Roentgenographic Findings in Hyaline Membrane Disease Treated with Exogenous Surfactant: Comparison with Control Group.
10.3348/jkrs.1997.36.1.155
- Author:
Sun Kyoung LEE
1
;
Chae Ha LIM
;
Woo Young LIM
;
Young Sook KIM
;
Ju Nam BYEN
;
Jae Hee OH
;
Young Chul KIM
Author Information
1. Department of Diagnostic Radiology, College of Medicine, Chosun University.
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
Infants, newborn, respiratory system;
Lung, diseases;
Respiratory distress syndrome
- MeSH:
Bronchopulmonary Dysplasia;
Ductus Arteriosus, Patent;
Hemorrhage;
Humans;
Hyalin*;
Hyaline Membrane Disease*;
Infant;
Infant, Newborn;
Intracranial Hemorrhages;
Membranes;
Radiography, Thoracic;
Retrospective Studies
- From:Journal of the Korean Radiological Society
1997;36(1):155-160
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To compare, with the use of chest radiographic findings, improvement and complications in newborns treated with exogenous surfactant for hyaline membrane disease(HMD), and an untreated control group. MATERIALS AND METHODS: Thirty-six patients with HMD were randomly assigned to a control group (n=18) or surfactant treated group (n=18). As part of an initial evaluation of their pulmonary status, we then performed a retrospective statistical analysis of chest radiographic findings obtained in exogenous surfactant treated and untreated infants within the first 90 minutes of life. Subsequent examinations were performed at less than 24 hours of age. RESULTS: Chest radiograph before treatment showed no significant differences between the two groups, but significant improvement was noted in the surfactant treated group, in contrast to the control group. The most common chest radiographic finding after surfactant administration was uniform (n=15) or disproportionate (n=2) improvement of pulmonary aeration. Patent ductus arteriosus developed in three treated neonates and in four cases in the control group. Air leak occurred in three cases in the treated group and in five cases in the control group. In one treated patient pulmonary hemorrhage developed and intracranial hemorrhage occurred in three treated neonates and in four cases in the control group. Bronchopulmonary dysplasia was developed in 6 cases of treated group and 3 cases of control group. CONCLUSION: A chest radiograph is considered to be helpful in the evaluation of improvement and complications of HMD in infants treated with surfactant.
