37例新生儿气胸及纵隔气肿的临床及治疗分析  

Clinical Analysis of 37 Cases of Neonatal Pneumothorax and Pneumomediastinum

作　　者：唐先莉 包蕾[2] 刘万琼[1] 

机构地区：[1]重庆市梁平县人民医院,重庆405200 [2]重庆医科大学附属儿童医院,重庆400014

出　　处：《儿科药学杂志》2011年第5期29-30,共2页Journal of Pediatric Pharmacy

基　　金：重庆市医疗特色专科建设项目(2009~2010);编号:渝卫科教[2011]24号

摘　　要：目的:探讨新生儿气胸、纵隔气肿的发生原因及防治措施。方法:对37例新生儿气胸及纵隔气肿病例的临床资料进行回顾性分析。结果:自发性4例,肺源性20例,医源性13例。保守治疗20例,胸腔穿刺抽气2例,胸腔闭式引流15例,痊愈33例,3例放弃治疗。结论:新生儿气胸、纵隔气肿的高危因素:剖宫产、羊水胎粪吸入及新生儿呼吸窘迫综合征、呼吸机的使用。通过做好围产期保健、防止宫内及分娩窒息、及时应用肺表现活性物质可预防此病的发生。Objective：To study the neonates with pneumothorax and pneumomediastinum,and the cause and prevention measures.Methods： Thirty seven neonates with pneumothorax and pneumomediastinum were retrospectively analyzed.Results： Spontaneous in 4 cases,pulmonary in 20 cases,iatrogenic in 13 cases.Conservative treatment in 20 cases,pleural puncture exhaust in 2 cases,thoracic close drainage in 15 cases.Thirty three cases were cured,while three cases gave up treatment.Conclusions： The risk factors of neonatal pneumothorax,pneumomediastinum are： cesarean section,amniotic fluid meconium aspiration,transient respiratory distress of the newborn and the use of ventilators.

关 键 词：新生儿 气胸 纵隔气肿 治疗 预防 

分 类 号：R722.19[医药卫生—儿科]