中国医学创新Issue(35)：91-93,94,4.DOI:10.3969/j.issn.1674-4985.2013.35.043
新生儿气胸91例临床分析
Clinical Analysis of 91 Cases of Newborn Pneumothorax
姚海娟 1孙斌1
作者信息
- 1. 苏州大学附属儿童医院 江苏 苏州 215000
- 折叠
摘要
Abstract
Objective:To investigate the common cause,clinical manifestation,prevention and prognosis of newborn pneumothorax. Method:Ninety-one cases of pneumothorax neonates hospitalized from January 2007 to December 2012 were analyzed retrospectively. Result:There were 23 spontaneous pneumothorax cases(25.3%),68 secondary pneumothorax cases(74.7%)according to the pneumothorax type. The ratio was 52:39 male to female,the average birthweight was 2515.7 g;there were difference of gestation age between spontaneous and secondary pneumothorax(P=0.002). The ratio of unilateral pneumothorax was higher than bilateral(80.2%vs 19.8%). Among secondary pneumothorax,meconium aspiration had the highest percentage. There were differences in treatments of the two types,far stronger treatments were needed for secondary pneumothorax(P=0.026). There were including sedation and oxygen inhalation,puncture and intensity vacuum aspiration,mechanical ventilation;then 80 cases improved(87.9%),7 cases died(7.7%),4 cases discharged on request,there were no statistical differences in death rate between the two groups(P>0.05). Conclusion:Newborn pneumothorax is not rare,secondary pneumothorax,especially caused by medical operation accounts for a large proportion. Doctors should develop the standard clinical manipulation,and try to avoid iatrogenic injury.关键词
新生儿/气胸/临床表现Key words
Newborn/Pneumothorax/Clinical manifestation引用本文复制引用
姚海娟,孙斌..新生儿气胸91例临床分析[J].中国医学创新,2013,(35):91-93,94,4.
