产伤性新生儿锁骨骨折47例临床分析

Clinical analysis of 47 cases of neonatal clavicular fracture

目的探讨产伤性新生儿锁骨骨折的临床表现和防治。方法回顾性分析产伤所致的新生儿锁骨骨折47例。结果 47例患儿均在产科漏诊,36例因入新生儿科体格检查时发现,11例因肺部疾病行X线检查发现。临床症状轻,体格检查多数可触及明显骨擦感。35例患儿骨折部位发生在右侧锁骨,12例骨折发生在左侧锁骨。47例患儿均采用保守治疗方法,疗效满意,无一例发生并发症。结论新生儿锁骨骨折预后良好,治疗以保守治疗为主。

Objective To discuss the clinical features of the neonatal clavicular fracture caused by birth trauma, and the efficacious methods to prevent and treat it .Methods Forty-seven cases of neonatal clavicular fracture caused by birth trauma were analysed retrospectively .Results The clavicular fractures were missed diagnosis in 47 neonates in the obstetrical department ,of them 36 cases of the neonates with birth clavicular fracture were found by the physical examination in pediatrics because of other diseases ,11 cases of birth clavicular fracture were found during X-ray examination because of lung disease .Clinical symptoms were not typical and slight ,but in most of patients undergoing physical examination , the obvious bone friction could be felt by palpation on the place of fractures .Thirty-five cases neonatal clavicular fracture occurred on the right clavicle ,12 in the left clavicle.Forty-seven patients received conservative treatment ,all the patient′s curative effect were satisfied ,no complications were found .Conclusion Neonatal clavicular fractures have a good prognosis and conservative treatment is main method for neonatal .