title: [Most frequent causes, complications and differential diagnosis of neonatal respiratory distress in chest x-ray].
abstract: The radiologic changes of the chest X-ray of 270 newborns with respiratory distress were analyzed. In cases of Hyaline Membranes the chest X-ray showed finely granular evenly disseminated structures combined with signs of hypoventilation. Localized, patchy, streaky, homogenous and reticulonodular shadows were found in cases of pneumonia and hemorrhage. Hyperinflation were an additional sign for an inflammatory disease. This symptom was also demonstrated in pulmonary bleeding, but was less common. The bilateral interstitial augmentation of the pulmonary structure in combination with cardiomegaly was mainly a symptom for cardial insufficiency and transient tachypnea. The differentiation between fine granular and reticulo-nodular structures should create no problem if the chest X-ray if of good quality. Extrapulmonary air collections were found in a high percentage in the course of artificial ventilation as a consequence of the "baro-trauma." The radiologic diagnosis of BPD was no problem. The value of the chest X-ray lies in the demonstration of a pulmonary cause for the respiratory distress, in the demonstration of complications and in the radiological observation of the disease.
mesh_terms: D003937:Diagnosis, Differential; D005260:Female; D006470:Hemorrhage / Q000150:complications; D006801:Humans; D006819:Hyaline Membrane Disease / Q000150:complications; D007223:Infant; D007231:Infant, Newborn; D008168:Lung / Q000473:pathology; D008297:Male; D011030:Pneumothorax / Q000209:etiology; D001261:Pulmonary Atelectasis / Q000209:etiology; D011859:Radiography; D012127:Respiratory Distress Syndrome, Newborn / Q000150:complications / Q000000981:diagnostic imaging* / Q000209:etiology
vernacular_title: Häufigste Ursachen, Komplikationen und Differentialdiagnose neonataler Atemstörungen im Röntgenbild.