新生儿气胸的诊断与治疗研究  

Diagnosis and Treatment Effect Analysis of Neonatal Pneumothorax

作　　者：梁波 Liang Bo(People’s Hospital of Anshun City,Anshun,Guizhou 561000)

机构地区：[1]贵州省安顺市人民医院,贵州安顺561000

出　　处：《科技与健康》2024年第11期69-72,共4页Technology and Health

摘　　要：研讨新生儿气胸的诊断形式、危险要素和治疗情况.选取贵州省安顺市人民医院于2018年1月-2022年12月收治的196例疑似气胸患儿作为研究对象,纳入研究组,选取同期140例接受正常检查的新生儿,纳入对照组,采取肺部超声、胸部X线检查,比较诊断灵敏度和特异度,并且对新生儿气胸存在的危险因素进行分析,涉及的内容包括年龄、性别、肺炎等.结果显示,196例疑似气胸新生儿中,确诊154例,灵敏度及特异度差异比较有统计学意义(P<0.05),研究组肺炎、急性呼吸窘迫综合征(acute respiratory distress syndrome,ARDS)和湿肺等各项指标占比均高于对照组(P<0.05).研究发现,相较于胸部X线检查,肺部超声的检测灵敏度和特异度更高.剖宫产、肺炎等更容易造成新生儿气胸.因此,要及时采取针对性方案对气胸患儿实施治疗,改善患儿预后.Discuss the diagnostic forms,risk factors,and treatment of neonatal pneumothorax.196 suspected pneumothorax children admitted to People’s Hospital of Anshun City from January 2018 to December 2022 were selected as the research subjects and included in the study group.140 newborns who underwent normal examinations during the same period were selected as the control group.Pulmonary ultrasound and chest X-ray examinations were performed to compare diagnostic sensitivity and specificity.Risk factors for pneumothorax in newborns were analyzed,including age,gender,pneumonia,etc.The results showed that out of 196 newborns suspected of pneumothorax,154 were diagnosed,and the difference in sensitivity and specificity was statistically significant(P<0.05).The study group had a higher proportion of various indicators such as pneumonia,acute respiratory distress syndrome(ARDS),and wet lung than the control group(P<0.05).Research has found that compared to chest X-ray examination,lung ultrasound has higher detection sensitivity and specificity.Cesarean section,pneumonia,etc.are more likely to cause pneumothorax in newborns.Therefore,it is necessary to take targeted measures in a timely manner to treat children with pneumothorax and improve their prognosis.

关 键 词：新生儿气胸 诊断方式 治疗形式 效果分析 

分 类 号：R722.1[医药卫生—儿科]