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新生儿气胸和纵隔气肿都是新生儿早期发生呼吸困难和紫绀的重要原因之一,也是呼吸管理的一个重要内容,为探索气漏的发病规律,便于早期诊断及时治疗,对1979年以来确诊为气胸病例做一分析。一、资料: 1979年1月至1986年12月底在本院分娩的活产儿共43257例,呼吸困难和紫绀等症状,经X线证实而确诊者共20例。二、分析与结果: 1、发病率与病死率:43257例新生儿中发生症状性气胸20例,发生率0.5‰,男女各10例,死亡3例,病死率15％。 2、发病的有关因素: (1)体重与胎龄的分布:足月儿占多数(65％),孕过期占30％。从体重来看有18例发生在正常体重组低体重儿只有2例。 (2)出生时情况与羊水污染:出生1分钟阿氏评分≤7分者12例占60％,其中≤3分者5例占
Neonatal pneumothorax and mediastinal emphysema are neonatal early dyspnea and cyanosis occur one of the important reasons, but also an important part of respiratory management, in order to explore the incidence of air leak law, to facilitate early diagnosis and timely treatment, confirmed since 1979 An analysis of pneumothorax cases. First, the data: from January 1979 to December 1986 at the end of December 1986 a total of 43257 childbirths of live births, dyspnea and cyanosis and other symptoms confirmed by X-ray confirmed a total of 20 cases. Second, the analysis and results: 1, morbidity and mortality: 43257 cases of neonatal symptomatic pneumothorax occurred in 20 cases, the incidence of 0.5 ‰, 10 males and 10 females, 3 died, the mortality rate of 15%. 2, the incidence of the relevant factors: (1) weight and gestational age distribution: full-term children accounted for the majority (65%), pregnancy accounted for 30%. From the weight point of view there are 18 cases of normal weight and low birth weight only 2 children. (2) the situation at birth and amniotic fluid contamination: birth 1 minute Ashleigh score ≤ 7 points 12 cases accounted for 60%, of which ≤ 3 points in 5 cases accounted