J Korean Radiol Soc.  1984 Jun;20(2):266-274. 10.3348/jkrs.1984.20.2.266.

Radiological evaluation of meconium aspiration pneumonia

• Lee MS
• Oh KK
• Han DK

• KMID: 2463043
• DOI: http://doi.org/10.3348/jkrs.1984.20.2.266

Abstract

Aspiration of meconium before or during birth may obstruct airways, interfere with gas transfer and causerespiratory distress. Recongnition of meconium aspiration pneumonia in X-ray with perinatal and obsterical historyas cause of early neonatal respiratory distress is very important for determine the pognosis. So the authors analyze the 43 cases of neonatal aspiration pneumonia and their manifestations. The results are as follows; 1. The number of observed patients was 43 cases; 26 cases in male, 17 cases in female. 2. Average gestational week was 41.4 weeks and average birth weight was 3130gm. 3. Meconium was stained in body and/or cord in 42 cases (98%) and suctioned from trachea in 31 cases (91%). 4. X-ray of chest showed clear lung in 13 cases (30%) and focal or diffuse area of consolidation of variable degree in 30 cases (70%). The pattern of consolidation was reticulogranular (56%), coarse irregular (30%) or atelectasis(7%), and clearing of consolidation was often manifestated within 24 hours in 13 cases (43%). 5. Evidence of pneumomediastinum or pneumothorax was present, in10 cases (23%). 6. Pleural effusion was also noted in 21 cases (44%).

MeSH Terms

Birth Weight
Female
Humans
Infant, Newborn
Lung
Male
Meconium Aspiration Syndrome*
Meconium*
Mediastinal Emphysema
Parturition
Pleural Effusion
Pneumonia*
Pneumonia, Aspiration
Pneumothorax
Suction
Thorax
Trachea