Value of the spiral computed tomography in detecting severity of bronchopulmonary dysplasia in infants and newborns

Abstract

For today the bronchopulmonary dysplasia is polyetiological chronic disease of morphologically immature lungs that develops in newborns especially extremely premature ones as a result of intensive care of respiratory distress-syndrome and\or pneumonia. The aim of research : improvement of BPD diagnostics by the study of SCT image of chest organs and elaboration of criteria of injury severity. Materials and methods . There were analyzed the data of SCT of chest organs CO) of 42 patients with BPD (28 boys, 14 girls) 25 days – 3 years old. 34 (81,0 %) were premature (19,0 %) – mature. Results . The radiographic criteria of BPD severity are: an intensity of pulmonary vasculature changes (from the local moderate one to diffuse pneumofibrosis), pulmonary hyperpneumatosis, emphysematous bullas (isolated or multiple), the pulmonary hypertension and pleuro-diaphragm, pleuro-pericardial commissures. Conclusions . SCT allows reveal the early signs of pulmonary changes at BPD and detect its severity that influences on the choice of treating tactics. With the help of SCT it is possible to establish the combination of BPD with anomalies and development disorders of lungs that detect its further prognosis and life quality