paru-paru

PENYAKIT PARU BAYI BARU LAHIR (RESPIRATORY DISTRESS OF NEWBORN)

Respiratory Dystress pada neonatus terdiri dari: (1)

  1. Hyalin Membran Disease (HMD) (mortalitas tertinggi)
  2. Trancient Tachypneu of Newborn (TTN) (kasus terbanyak, 40%)
  3. Meconium aspiration Syndrome (MAS)
  4. Penyebab lainnya:
    1. Delayed transition
    2. Infection (e.g., pneumonia, sepsis)
    3. Nonpulmonary causes (e.g., anemia, congenital heart disease, congenital malformation, medications, neurologic or metabolic abnormalities, polycythemia, upper airway obstruction)
    4. Persistent pulmonary hypertension of the newborn
    5. Pneumothorax

Gambaran normal yang dapat ditemukan pada foto x ray: (2)

  • Foto dalam posisi AP,
  • bayangan timus besar
  • dinding dada yang tebal
  • Cardiothoracic ratio > 50%

Gambaran abnormal pada paru yang dapat ditemukan pada foto x ray: (2)

  • Volume paru yang kecil
  • Opasitas granular/ ground glass yang diffuse
  • Gambaran air bronchogram
  • Loss of vascular definition
  • No pleural effusion

Sumber:

  1. CHRISTIAN L. HERMANSEN, MD, and KEVIN N. LORAH, MD, Lancaster General Hospital, Lancaster, Pennsylvania. Respiratory Distress in the Newborn. Am Fam Physician. 2007 Oct 1;76(7):987-994.
  2. R. Uppoor, G. Narang, S. Raniga, G. Raptis; Imaging of Neonatal Respiratory Distress Syndrome: Pearls and pitfalls. ECR 2015 DOI: 10.1594/ecr2015/C-0770
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