CAJ | 학술논문

目的探讨新生儿气胸发生的病因、诊断及救治措施.方法回顾性分析2005年3月至2010年3月收住我院新生儿科的98例新生儿气胸的病因、诊治手段及预后.结果 98例气胸患儿中,足月儿71例,早产儿27例；自发性气胸10例,非自发性气胸88例,分别给予原发病治疗、胸腔穿刺排气、胸腔闭式引流及机械通气等救治措施后,治愈88例,好转8例,死亡2例.结论新生儿气胸与剖宫产、窒息复苏时正压通气过度、胎粪吸入、早产儿肺透明膜病应用肺表面活性物质及机械通气等因素有关,绝大部分继发于肺部疾病.预防早产和窒息,避免错误的气道加压,可减少气胸的发生.
목적 탐토신생인기흉발생적병인、진단급구치조시.방법 회고성분석2005년3월지2010년3월수주아원신생인과적98례신생인기흉적병인、진치수단급예후.결과 98례기흉환인중,족월인71례,조산인27례；자발성기흉10례,비자발성기흉88례,분별급여원발병치료、흉강천자배기、흉강폐식인류급궤계통기등구치조시후,치유88례,호전8례,사망2례.결론 신생인기흉여부궁산、질식복소시정압통기과도、태분흡입、조산인폐투명막병응용폐표면활성물질급궤계통기등인소유관,절대부분계발우폐부질병.예방조산화질식,피면착오적기도가압,가감소기흉적발생.
Objective To investigate the cause,diagnosis and treatment measures of neonatal pneumothorax.Methods The clinical data of 98 cases with neonatal pneumothorax in our hospital from Mar 2005 to Mar 2010 were reviewed retrospectively.Results There were 27 premature neonates and 71 full-term neonates in the 98 cases.Ten cases were spontaneous pneumothorax and 88 cases were non spontaneous pneumothorax.After the treatnent of primary disease,pleural aspiration,chest drainage and mechanical ventilation,88 cases were cured,8 cases were improved and 2 cases died.Conclusion Neonatal pneumothorax is related with cesarean section,improper use of endotracheal intubation,meconium aspiration,premature hyaline membrane disease using pulmonary surfactant and ventilator therapy.Most pneumothorax is due to lung disease.The prevention of preterm birth and asphyxia can reduce the incidence of neonatal pneumothorax.