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目的探讨新生儿气胸的病因及危险因素。方法总结本院2010年7月至2012年6月收住的46例新生儿气胸的病因及危险因素。结果 46例气胸患儿中,足月儿40例,早产儿6例,治愈38例,好转4例,死亡4例。结论发生气胸的新生儿中足月剖宫产儿大于早产儿。气胸与剖宫产、肺部原发病、不正确的窒息复苏及不同人员复苏之间的差异有关。预防窒息、早产,防治肺部吸入、提高复苏人员复苏技巧及尽早使用T组合(T-Piece)复苏器,可减少气胸的发生率。
Objective To investigate the etiology and risk factors of neonatal pneumothorax. Methods The etiology and risk factors of 46 cases of neonates with pneumothorax were admitted from July 2010 to June 2012 in our hospital. Results Among the 46 patients with pneumothorax, 40 were full-term infants, 6 were premature infants, 38 were cured, 4 were improved and 4 died. Conclusion Newborn infants with pneumothorax have more term cesarean section than preterm infants. Pneumothorax and cesarean section, primary lung disease, incorrect apnea recovery and differences between different staff recovery. Prevention of asphyxia, premature delivery, prevention and treatment of pulmonary ingestion, improvement of resuscitation skills and early use of the T-Piece resuscitator can reduce the incidence of pneumothorax.