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目的探讨新生儿气胸的发病原因,提高对新生儿气胸的预防及治疗水平。方法回顾性分析我院2001年5月-2012年12月收入我科的36例新生儿气胸的病因、临床表现、治疗措施及预后。结果 36例气胸患儿自发性气胸10例,占10%,非原发性气胸32例,占90%,经过积极治疗原发病及采取及时、有效的治疗措施,34例治愈,2例死亡。结论新生儿气胸的发生多数为非原发性,早产儿、过期产儿、有窒息缺氧史患儿发生气胸几率较高,采取保护性通气策略可有效降低新生儿气胸的发生。
Objective To explore the causes of neonatal pneumothorax and improve the prevention and treatment of neonatal pneumothorax. Methods Retrospective analysis of etiology, clinical manifestations, treatment measures and prognosis of 36 neonates with pneumothorax who received our department from May 2001 to December 2012 in our hospital. Results 36 cases of pneumothorax children with spontaneous pneumothorax 10 cases, accounting for 10%, 32 cases of non-primary pneumothorax, accounting for 90%, after active treatment of primary disease and take timely and effective treatment, 34 cases were cured, 2 cases of death . Conclusion The incidence of pneumothorax in neonates is mostly non-primary, premature infants and expired children. The incidence of pneumothorax in children with history of asphyxia and hypoxia is high. Protective pneumoconiosis can effectively reduce the occurrence of pneumothorax in neonates.