| A clinical study on the idiopathic respiratory distress syndrome of the newborn: comparison of radiographic and clinical findings. |
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Byoung Yul Lim1, Chong Woo Bae1, Yong Mook Choi1, Chang Il Ahn1, Sun Wha Lee2 |
1Department of Pediatrics, College of Medicine, Kyung Hee Universsity, Seoul, Korea
2Department of Diagnostic Radiology, College of Medicine, Kyung Hee Universsity, Seoul, Korea |
| 신생아 호흡곤란 증후군의 흉부 방사선 소견에 대한
임상적 고찰 |
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임병열1, 배종우1, 최용묵1, 안창일1, 이선화2 |
1경희대학교 의과대학 소아과학교실
2경희대학교 의과대학 진단방사선과학교실 |
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Received: 24 July 1990 • Accepted: 29 October 1990 |
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| Abstract |
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Idiopathic respiratory distress syndrome (IRDS) of the newborn remains an important and signifi-
cant cause of morbidity and mortality despite of improvement in neonatal care.
The clinical and radiologic features observed are the results of surfactant deficiency combined with
a highly compliant chest wall. We have been applied the clinical and radiologic features in the
diagnosis of IRDS.
In 1974, Bomsel et al reported the radiologic classification of IRDS. He classified 4 stages of IRDS
according to severity of chest radiographic findings. For the comparison of relationship between
clinical findings and radiographic classification in IRDS cases, we conducted the this clinical observa-
tion in 79 cases of IRDS, who were delivered at Kyung Hee University Hospital from Jan. 1987 to Dec.
1989. We reviewed their chest radiographs and clinical findings, with comparing of birth weight,
gestational period, complications, mortality and method of respiratory care according to BomseFs
classification.
The results were obtained as follows:
1) There were significant male predominance in incidences of IRDS. Male to female ratio was 1.
5:1.
2) Among the total 79 cases of IRDS, 15 cases (19.0%) were stage II, 27 cases (34.2%) were stage
II, 21 cases (26.6%) were stage III and 16 cases (20.2%) were stage IV respectively, according to
BomseFs classification.
3) In comparing of gestational period, birth weight and radiologic classification there were higher
incidence of advanced stage in group of prematurity and lower birth weight infants.
4) The radiologic complications were observed in 15 cases (19.0%).
5) In comparing of mortality and radiologic classification, mortality were 0% in stage 1, 11.1%
in stage II, 47.6% in stage III and 68.8% in stage IV，respectively.
6) According to methods of respiratory care, we could treated by hood oxygen or nasal CPAP in
groups of stage I or II, but IRDS cases in stage III or IV were required more intensive ventilatory
care. |
| Key Words:
Respiratory Distress Syndrome, Radiographic stage |
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