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目的:探讨医源性新生儿气胸的病因及治疗方法。方法:回顾性分析医源性新生儿气胸的病历资料,着重分析其病因、发病机制、治疗方法,结合文献进行研讨。结果:本组病例给予常规综合治疗,联合胸腔穿刺闭式引流患儿平均引流时间2.8天,联合胸腔穿刺闭式引流、辅助呼吸机治疗患儿平均引流时间5天;其中1例出现张力性气胸改用8#硅胶引流管仍无好转转上级医院后放弃治疗,其余均治愈。结论:随着医学技术水平的不断提高,危重患儿生存率极大提高,医源性气胸发生率也有增高的趋势。针对新生儿气胸的病因及发病机制,积极改进相应治疗措施,预后良好。
Objective: To explore the etiology and treatment of iatrogenic neonatal pneumothorax. Methods: A retrospective analysis of iatrogenic neonatal pneumothorax medical records, focusing on analysis of its etiology, pathogenesis, treatment methods, combined with the literature to discuss. Results: The patients in this group were given conventional comprehensive treatment. The average drainage time was 2.8 days in children with closed drainage of thoracentesis. The average drainage time of children with combined thoracentesis and assisted ventilation was 5 days. One case had tension pneumothorax Switch to 8 # silicone drainage tube still no better transfer to the superior hospital after giving up treatment, the rest were cured. Conclusion: With the continuous improvement of medical technology, the survival rate of critically ill children has greatly increased, and the incidence of iatrogenic pneumothorax has also increased. In view of the etiology and pathogenesis of neonatal pneumothorax, and actively improve the corresponding treatment, the prognosis is good.