Wet lung disease, also called transient tachypnea of the newborn, retention
of fetal lung fluid, or transient respiratory distress of the newborn,
occurs when there is slow or incomplete clearance of lung fluid. Normal
lung fluid is cleared through the bronchi by the thoracic squeeze during
vaginal delivery, and through lymphatics and capillaries [1]. Conditions
that predispose to wet lung disease include cesarean section, precipitous
delivery, and very small, hypotonic, or sedated infants [1,2]. Patients
with this disease typically have mild or moderate respiratory distress
sometime in the first 4 hours of life.
The roentgenographic findings are mild to moderate overaeration, symmetric
parahilar patches or streaks, and occasionally mild cardiomegaly or pleural
effusions [3]. The right lung may be more opacified than the left. The
chest film returns to normal by 48-72 hours of age.
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.Figure 1. Note streak densities in the
parahilar regions and patchy
infiltrates in the right lung.
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