新生儿气胸32例诊治体会  

Diagnosis and treatment of 32 cases with newborn pneumothorax

作　　者：李怀玉[1] 费英山[1] 王永明[1] 

机构地区：[1]宁夏医科大学附属医院儿童急救科,宁夏银川750004

出　　处：《吉林医学》2012年第2期229-230,共2页Jilin Medical Journal

摘　　要：目的:探讨新生儿气胸的病因、临床特点及防治措施。方法:对我院新生儿监护室收治的32例新生儿气胸资料进行回顾性分析。结果:32例新生儿中,18例(56.3%)在气管插管机械通气过程中出现气胸,鼻塞持续正压通气后发现气胸8例(25.0%);28例(87.5%)行胸腔闭式引流,26例(81.3%)患儿气胸消失。结论:新生儿气胸部分是可以预防的,一旦发生气胸应早期诊断;机械通气中发生的气胸多为张力性气胸,需立即选用胸腔穿刺排气并闭式引流,及时对症处理,患儿预后良好。Objective To explore the etiopathogenisis,clinical characteristic,prevention and treatment of newborn pneumothorax.Method To review the 32 cases of newborn pneumothorax admitted in our newborn intensive care unit in the last 2 years.Results In the 32 cases of newborn pneumothorax,there were 18 cases（56.25%） occurred in the process of endotracheal intubation with mechanical ventilation,8 cases（25%） occurred in the process of nasal continuous positive airway pressure.There were 28 cases（87.5%） of newborn pneumothorax were treated with thoracic puncture or drainage respectively,and there were 26 cases（81.25%） pneumothorax disappeared.Conclusion Some newborns＇ pneumothorax can be prevented.Early diagnosis is very important.Pneumothorax occurring in the process of mechanical ventilation,is tension pneumothorax.It need thoracic puncture or drainage respectively immediately.It would result in favorable treatment outcomes,if treated timely.

关 键 词：气胸 新生儿 预防和治疗 

分 类 号：R722.1[医药卫生—儿科]