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目的探讨新生儿气胸的诱因及治疗。方法回顾性分析新生儿气胸36例的临床资料。结果36例患儿治愈31例,死亡3例,放弃治疗2例。保守治疗的7例全部自行吸收治愈,一次性穿刺抽气治愈15例,予以胸腔闭式引流14例,治愈9例,放弃2例,死亡3例,1例死于并发肺出血,另2例并发多脏器功能衰竭死亡。结论根据胸片气胸面积大小和临床表现选择适当的方案:自发性气胸,肺压缩<30%者大多可行保守治疗自行吸收;医源性、病理性气胸需及时胸腔穿刺和持续胸腔闭式引流。
Objective To investigate the causes and treatment of neonatal pneumothorax. Methods Retrospective analysis of 36 cases of neonatal pneumothorax clinical data. Results 36 cases of children were cured in 31 cases, 3 died, giving up treatment in 2 cases. Conservative treatment of 7 cases of all self-absorption and cure, a one-time puncture suction cure 15 cases, to be closed thoracic drainage in 14 cases, 9 cases were cured, give up 2 cases, 3 died, 1 died of concurrent pulmonary hemorrhage, the other 2 cases Multiple organ failure complicated by death. Conclusions According to the size of thoracic and pneumothorax, the appropriate choice of clinical manifestations: spontaneous pneumothorax, pulmonary compression <30% are mostly feasible conservative treatment of self-absorption; iatrogenic and pathological pneumothorax need timely thoracentesis and sustained thoracic drainage.