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目的:探讨新生儿肺气漏形成的病因,发病机理及临床表现、X线特征。方法:对我院46例新生肺气漏病例进行回顾性分析。结果:新生儿肺气漏的病因以病理性为主(65.2%),主要基础疾病为胎粪吸入综合征(MAS)及新生儿肺透明膜病(HMD);其次为医源性(28.3%),多因人工通气、CPAP或机械通气所致;自发性较少(6.5%)。结论:基础疾病及人工通气/机械通气是新生儿肺气漏的主要原因。
Objective: To investigate the etiology, pathogenesis, clinical manifestations and X-ray features of neonatal pulmonary air leak. Methods: 46 cases of neonatal pulmonary air leak cases were retrospectively analyzed. Results: The main cause of pulmonary air leak in neonates was pathological (65.2%). The main underlying diseases were meconium aspiration syndrome (MAS) and neonatal hyaline membrane disease (HMD), followed by iatrogenic (28.3% ), Mostly due to artificial ventilation, CPAP or mechanical ventilation; spontaneous less (6.5%). Conclusion: The main causes of neonatal pulmonary air leaks are underlying diseases and artificial ventilation / mechanical ventilation.