新生儿气胸15例诊治体会

Diagnosis and treatment of 15 cases newborn pneumothorax

目的探讨新生儿气胸的发病机制、预防及诊疗措施。方法回顾分析我院新生儿室近3年内收治的15例气胸新生儿的发病原因、临床表现、诊疗及转归。结果 15例新生儿中,自发性气胸3例,病理性气胸9例,医源性气胸3例。自发性气胸临床症状通常较轻,病理性及医源性气胸症状大多较重。根据病情,给予保守治疗或穿刺引流治疗,14例患儿气胸消失。结论导致新生儿气胸的病因不同,有些是可以预防的。一旦发生气胸应早期诊断,对不同程度和不同类型的气胸采用相应的治疗手段,患儿预后大多良好。

Aim To explore the etiopathogenesis,prevention,diagnosis and treatment of newborn pneumothorax.Methods The data of 15 cases of newborn pneumothorax admitted in our newborn ward in the last 3 years were analyzed for etiology,clinical manifestation,diagnosis and management.Results In the 15 cases of newborn pneumothorax,there were spontaneous pneumothorax 3 cases,pathologic pneumothorax 9 cases,iatrogenic pneumothorax 3 cases.The clinical symptom of pathologic and iatrogenic pneumothorax was more serious than that of spontaneous pneumothorax.According to the state of the disease,the 15 cases of newborn pneumothorax were treated with expectant treatment,thoracic puncture or drainage respectively.pneumothorax of 14 cases vanished.Conclusion the pathogeny of Newborn Pneumothorax was different,some of which could be prevented.Early diagnosis was very important in newborn pneumothorax.Selection of clinical management for newborn pneumothorax based on different degrees and types would result in favorable treatment outcomes.