新生儿气胸40例临床分析

来源 :国际发育与疾病高峰论坛暨第六届儿童保健高层论坛、重庆市儿科年会 | 被引量 : 0次 | 上传用户:bvf
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  目的:探讨新生儿气胸(pneumothorax)发生的有关危险因素及防治措施.方法:对2008年1月至2010年12月在我院NICU住院40例气胸患儿的临床资料进行回顾性分析.结果:40例气胸患儿,足月儿 27例,早产儿 8例,过期产儿5例.所有病例均有肺部原发疾病.其中新生儿肺透明膜病12例,胎粪吸入综合征10例,急性呼吸窘迫综合征4例,宫内感染8例,新生儿窒息22例.其中CPAP下发生3例,机械通气下发生7例.右侧24例 ,左侧8例,双侧8例,肺部压缩大于30% 26例,15-30% 8例,小于15%6例.30例给予胸腔闭式引流.临床治愈37例,放弃3例.死亡0例.结论:新生儿气胸常继发于肺部疾病,常见原因新生儿肺透明膜病、宫内感染.辅助呼吸下发病率增高.加强围产期保健、宣教,正确使用呼吸机可降低气胸发生率.
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