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目的探讨新生儿气胸的临床特点及治疗方法。方法回顾性分析2004年4月-2008年9月住院的新生儿气胸23例的临床资料。结果经鼻塞持续呼吸道正压通气(NCPAP)是气胸发生的一个重要因素。临床症状轻重不一,X线检查可明确,根据病情采用镇静、头罩吸氧或胸穿抽气、闭式引流,插管通气治疗,NCPAP者停用NCPAP,治愈21例,死亡2例。结论新生儿突然出现气促、紫绀加重,应高度警惕气胸的发生,及时行胸部X线检查,一旦发生气胸,应及时积极处理,以降低病死率。
Objective To investigate the clinical features and treatment of neonatal pneumothorax. Methods The clinical data of 23 neonates with pneumothorax hospitalized from April 2004 to September 2008 were retrospectively analyzed. The results of nasal continuous positive airway pressure (NCPAP) is an important factor in the occurrence of pneumothorax. The severity of clinical symptoms, X-ray examination can be clear, according to the condition of sedation, hood oxygen or chest wear suction, closed drainage, intubation ventilation treatment, NCPAP were disabled NCPAP, 21 cases were cured, 2 died. Conclusions The sudden onset of shortness of breath and cyanosis in newborns should be highly vigilant against the occurrence of pneumothorax. Chest X-ray examination should be performed promptly. Once pneumothorax occurs, active treatment should be taken in order to reduce mortality.