目的 探讨分析新生儿气胸的病因,临床特点及防治措施。 方法 对本院新生儿科2010年9月-2011年9月收治的20例新生儿气胸患者临床资料进行回顾性分析。 结果 20例新生儿气胸患者中17例经保守治疗,治愈出院,2例分别经胸腔穿刺及胸腔闭式引流后治愈出院,1例抢救无效死亡。 结论 新生儿气胸多见于足月儿,且发病率与分娩方式有关,降低择期剖宫产率,提高窒息复苏水平,可防治新生儿气胸的发生。
Abstract
Objective To analyze the pathogenic condition,clinical characters and treatments of neonatal pneumothorax. Method A retrospective study on 20 neonates born in Maternity and Child Health Care Hospital of Tongzhou District between September 2010 and September 2011. Results A total of 17 babies recovery got by conservative treatment and 2 babies were treated by puncture pumping air and closed chest drainage.1 infant died after completely rescue. Conclusions The incidence of neonatal pneumothorax was higher in term neonates,and relevant with delivery.To reduce selective cesarean section and improve the rescue technical could prevent the incidence of neonatal pneumothorax.
关键词
新生儿气胸 /
临床特点 /
相关因素
Key words
neonatal pneumothorax /
clinical characters /
relative factors
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参考文献
[1] 金汉珍,黄德民,官希吉.实用新生儿学[M].北京:人民卫生出版社,2004:451-454.
[2] Bentemd T,Sandvik L,Lindemann R.Cesarean section is associated with more frequent pneumothorax and respiratory problem in the neonate[J].Acta Obsete Gynecol Scand,2009,88(3):359-361.
[3] 李德渊,李晋辉,夏斌,等.新生儿气胸31例临床分析[J].中国新生儿科杂志,2007,22(4):235-236.
[4] 中国新生儿复苏专家组.新生儿复苏指南(2011北京修订版)[J].中国小儿急救医学,2011,18(4):307-313.
[5] 覃晓菲,傅万海,游楚明.新生儿气胸26例临床分析[J].中国新生儿科杂志,2010,25(2):109-110.
[6] 王丽慧,王素梅.T组合复苏器在新生儿窒息复苏现场中的应用[J].中国小儿急救医学,2011,18(1):72-73.
[7] 《中华儿科杂志》编辑委员会,中华医学会儿科学分会新生儿学组.新生儿常频机械通气常规[J].中华儿科杂志,2004,42(5):356-357.
[8] Klinger G,Ish-Hurwitz S,Osovsky M,et al.Risk factors for pneumothorax in very low birth weight infants[J].Pediatr Crit Care Med,2008,9:398-402.
[9] 周齐,刘维靖,王凤英,等.新生儿自发性气胸产科因素分析[J].中国实用妇科与产科杂志,2007,23(3):216-217.