CAJ | 학술논문

近年来,剖宫产率有不断上升的趋势,其产生的不良反应也开始引起国内外临床医生的重视.文献报道足月剖宫产尤其是选择性剖官产,新生儿气胸发病率显著高于自然分娩儿及非选择性剖宫产儿.另外,随着新生儿重症监护病房的广泛建立及呼吸机的普及应用,危重新生儿的抢救成功率明显提高,但气胸发病率也随之上升.研究表明,选择性剖宫产及机械通气与新生儿医源性气胸高度相关,临床上应严格掌握剖宫产及机械通气的适应证.
근년래,부궁산솔유불단상승적추세,기산생적불량반응야개시인기국내외림상의생적중시.문헌보도족월부궁산우기시선택성부관산,신생인기흉발병솔현저고우자연분면인급비선택성부궁산인.령외,수착신생인중증감호병방적엄범건립급호흡궤적보급응용,위중신생인적창구성공솔명현제고,단기흉발병솔야수지상승.연구표명,선택성부궁산급궤계통기여신생인의원성기흉고도상관,림상상응엄격장악부궁산급궤계통기적괄응증.
The side effects of cesarean with the increasing rate section began to attract the attention of pediatricians in recent years. Previous studies reported that the incidence of neonatal pnermothorax by full-term cesarean section, especially selective cesarean section, was significantly higher than vaginal birth or non-selective cesarean section. In addition, with an extensive establishment of NICUs in China and widely use of mechanical ventilation, the rate of successful neonatal rescue was improved obviously, but the incidence of pneumothorax was increasing. Studies suggested that the incidence of neonatal iatrogenic pneumothorax was highly relevant with selective cesarean section and mechanical ventilation. The indications for cesarean section and mechanical ventilation should be carefully considered.