足月新生儿自发性气胸30例临床分析

Clinical analysis on 30 full-term neonates with spontaneous pneumothorax

目的:探讨足月新生儿自发性气胸的病因、发病特点、与分娩方式的关系及诊断和防治措施。方法:回顾性分析2005年1月1日～2011年12月31日产科足月新生儿自发性气胸30例的临床资料。结果:30例患者根据X线结果分三度,轻度23例,占76.7%,肺压缩<30%;中度7例,占23.3%,肺压缩30%～70%;无重度患者。足月新生儿自发性气胸多发生于出生后24 h内,剖宫产足月新生儿自发性气胸发生率明显高于自然分娩。结论:足月新生儿自发性气胸与分娩方式有关,多见于足月剖宫产,应严格掌握剖宫产手术指征。

Objective：To explore the causes,characteristics,relationship with delivery modes,diagnosis,preventive and therapeutic measures of spontaneous pneumothorax in full-term neonates.Methods：The clinical data of 30 full-term neonates with spontaneous pneumothorax from obstetrical department of the hospital from January first,2005 to December 31st,2011 were analyzed retrospectively.Results：Thirty neonates were divided into three grades according to X-ray results： 23 neonates in mild group,accounting for 76.7%,the degree of pulmonary compression was less than 30%;7 neonates in moderate group,accounting for 23.3%,the degree of pulmonary compression was within the range of 30%-70%;no neonates with severe spontaneous pneumothorax was found.Most of spontaneous pneumothorax occurred within 24 hours after birth,the incidence of spontaneous pneumothorax in full-term neonates receiving cesarean section was statistically significantly higher than that in full-term neonates receiving spontaneous labor.Conclusion：Spontaneous pneumothorax was correlated with delivery modes in full-term neonates,which usually occurred in the full-term neonates receiving cesarean section,the surgical indications of cesarean section should be controlled strictly.