论文部分内容阅读
目的探讨新生儿气胸的病因、临床表现及防治。方法总结2005年1月～2008年5月收住我院新生儿科的58例气胸患儿资料,其中保守治疗24例,一次性胸腔穿刺抽气7例,静脉留置针穿刺闭式引流22例,胸腔切开闭式引流5例。结果治愈44例,好转6例,放弃治疗自动出院6例,死亡2例。其中,保守治疗24例全部治愈,3例因经济原因自动出院。结论新生儿气胸主要与窒息、胎粪吸入及医源性因素有关,减少胎粪吸入,降低窒息发生率,正确复苏,合理应用呼吸机,选择正确的分娩方式可减少气胸的发生率。
Objective To investigate the etiology, clinical manifestations and prevention and treatment of neonatal pneumothorax. Methods From January 2005 to May 2008, 58 cases of pneumothorax were admitted to neonatology department of our hospital. Among them, conservative treatment was performed in 24 cases, disposable thoracentesis in 7 cases, intravenous indwelling needle in 22 cases, Thoracotomy closed drainage in 5 cases. Results of 44 cases were cured, improved in 6 cases, give up the treatment of 6 cases were discharged automatically, 2 died. Among them, conservative treatment of 24 cases were cured, 3 cases were discharged due to economic reasons. Conclusion Neonatal pneumothorax is mainly related to asphyxia, meconium aspiration and iatrogenic factors, which can reduce the incidence of pneumothorax by reducing the incidence of pneumothorax by decreasing the incidence of asphyxiation, decreasing the incidence of asphyxia, correctly recovering, using ventilator rationally and choosing the correct mode of delivery.