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目的对比硬脊膜外麻醉导管胸腔穿刺植入与普通胸管行胸腔闭式引流治疗新生儿气胸的临床疗效与并发症。方法对本院NICU自2009年7月~2012年11月收治的89例新生儿气胸进行随机分组,分为常规治疗组(对照组)和硬脊膜外麻醉导管胸腔穿刺植入治疗组(治疗组)。进行前瞻性研究分析。结果硬脊膜外麻醉导管胸腔穿刺植入治疗新生儿气胸较常规治疗有明显优势。结论硬脊膜外麻醉导管(F3×70C型)胸腔穿刺植入治疗新生儿气胸操作简单,创伤小,大大缩短了操作时间,减少了患儿的痛苦,降低了感染发生率和并发症
Objective To compare the clinical effects and complications of thoracic drainage with epidural anesthesia catheterization in neonates with pneumothorax. Methods A total of 89 neonates with pneumothorax admitted to NICU from July 2009 to November 2012 were randomly divided into routine treatment group (control group) and epidural anesthesia catheterized thoracentesis treatment group (treatment group group). Prospective analysis. Results Thoracic epidural anesthesia catheter implantation of neonates with pneumothorax than the conventional treatment has obvious advantages. Conclusion Thoracentesis of epidural anesthesia catheter (F3 × 70C type) is simple and traumatic for the treatment of neonatal pneumothorax, which greatly shortens the operation time, reduces the pain of children and reduces the incidence of infection and complications