中国当代儿科杂志2013，Vol.15Issue(8)：623-626,4.DOI:10.7499/j.issn.1008-8830.2013.08.006
新生儿气胸病因及防治分析
Etiology and prevention of neonatal pneumothorax
吉玲 1黄娜娜 1陈丹1
作者信息
- 1. 郑州大学第三附属医院新生儿科,河南郑州450052
- 折叠
摘要
Abstract
Objective To investigate the risk factors and preventative measures for neonatal pneumothorax.Methods Retrospective analysis was performed on the clinical data of 2286 neonates who were hospitalized in the neonatal intensive care unit between October 2010 and November 2011,and a case-control study was conducted to analyze the risk factors and preventative measures for neonatal pneumothorax.Results The incidence ofpneumothorax among the neonates was 1.57％ (36/2286),and it was significantly higher in full-term infants than in preterm infants (23/1033 vs 13/1253,P=0.023).Logistic regression analysis indicated that cesarean section,neonatal respiratory distress syndrome (NRDS),wet lung,pneumonia and mechanical ventilation were the independent risk factors for neonatal pneumothorax (odds ratios=7.951,6.090,7.898,6.272 and 4.389; P＜0.05 for all).The higher the peak inspiratory pressure (PIP) during mechanical ventilation,the higher the incidence of neonatal pneumothorax (P＜0.001).Pulmonary surfactant reduced the incidence of pneumothorax among neonates with NRDS (2.9％ vs 10.1％; P=0.006).Conclusions Neonatal pneumothorax occurs mostly in full-term infants.Cesarean section,NRDS,wet lung,pneumonia and mechanical ventilation are closely associated with neonatal pneumothorax.Strict management of indications for cesarean section,keeping PIP at a low level during mechanical ventilation,and use of pulmonary surfactant are helpful in preventing neonatal pneumothorax.关键词
气胸/病因/防治/新生儿Key words
Pneumothorax/ Etiology/ Prevention/ Neonate引用本文复制引用
吉玲,黄娜娜,陈丹..新生儿气胸病因及防治分析[J].中国当代儿科杂志,2013,15(8):623-626,4.
