CAJ | 학술논문

目的：探讨产伤性新生儿锁骨骨折的临床表现和防治。方法回顾性分析产伤所致的新生儿锁骨骨折47例。结果47例患儿均在产科漏诊，36例因入新生儿科体格检查时发现，11例因肺部疾病行X线检查发现。临床症状轻，体格检查多数可触及明显骨擦感。35例患儿骨折部位发生在右侧锁骨，12例骨折发生在左侧锁骨。47例患儿均采用保守治疗方法，疗效满意，无一例发生并发症。结论新生儿锁骨骨折预后良好，治疗以保守治疗为主。
목적：탐토산상성신생인쇄골골절적림상표현화방치。방법회고성분석산상소치적신생인쇄골골절47례。결과47례환인균재산과루진，36례인입신생인과체격검사시발현，11례인폐부질병행X선검사발현。림상증상경，체격검사다수가촉급명현골찰감。35례환인골절부위발생재우측쇄골，12례골절발생재좌측쇄골。47례환인균채용보수치료방법，료효만의，무일례발생병발증。결론신생인쇄골골절예후량호，치료이보수치료위주。
Objective To discuss the clinical features of the neonatal clavicular fracture caused by birth trauma, and the efficacious methods to prevent and treat it .Methods Forty-seven cases of neonatal clavicular frac-ture caused by birth trauma were analysed retrospectively .Results The clavicular fractures were missed diagnosis in 47 neonates in the obstetrical department ,of them 36 cases of the neonates with birth clavicular fracture were found by the physical examination in pediatrics because of other diseases ,11 cases of birth clavicular fracture were found during X-ray examination because of lung disease .Clinical symptoms were not typical and slight ,but in most of patients un-dergoing physical examination , the obvious bone friction could be felt by palpation on the place of fractures .Thirty-five cases neonatal clavicular fracture occurred on the right clavicle ,12 in the left clavicle.Forty-seven patients re-ceived conservative treatment ,all the patient′s curative effect were satisfied ,no complications were found .Conclusion Neonatal clavicular fractures have a good prognosis and conservative treatment is main method for neonatal .