新生儿自发性气胸1例

• 作 者: 鞠建明
• 机 构: 南京医学院第二附属医院儿科,
• 出 处: 南京医学院学报
• 发表日期: 1982年03期
• 关键词: 新生儿 自发性气胸 细支气管 单向流 胎粪 过度充气 胸膜腔 新生儿窒息 脏层胸膜 气胸

新生儿自发性气胸的发病率约有0.05—0.2％,其发生机理常为新生儿窒息进行复苏时用力过猛或吹入气体过多,使肺泡过度膨胀而致破裂;亦可由支气管和细支气管吸入羊水或胎粪后,形成单向流的瓣膜样结构,而远端肺泡过度充气以至破裂。脏层胸膜下肺泡向胸膜腔破裂者,即形成气胸,我科于1981年7月抢救一例成功,兹报导如下:

The incidence of neonatal spontaneous pneumothorax about 0.05-0.2%, its mechanism of birth is often neonatal asphyxia resuscitation excessive force or inflated gas too much, so that the alveolar excessive expansion caused by rupture; also by the bronchus and bronchioles Upon inhalation of amniotic fluid or meconium, a unidirectional flow-like valve-like structure is formed, while the distal alveoli are over-inflated and ruptured. Visceral pleura pneumothorax to the pleural cavity rupture, the formation of pneumothorax, our department in July 1981 to rescue a successful case, it is reported as follows: