资源描述：
《新生儿气胸91例临床分析》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。
1、新生儿气胸91例临床分析【摘要】目的：研究新生儿气胸常见发病原因、临床表现、防治及预后。方法：回顾性分析木院2007年1月-2012年12月诊断新生儿气胸的91例患儿临床资料，对所搜集病例的临床资料进行统计分析。结果：在91例临床病例中，按气胸类型分类，自发性气胸23例(25.3%),继发性气胸68例(74.7%)；男女比例为52：39,平均出生体重2515.7g；继发性气胸及自发性气胸患儿胎龄构成之间存在差异(P=0.002)；单侧气胸比例高于双侧气胸(80.2%vs19.8%)0继发性气胸中胎粪吸入比例最高;两种类
2、型气胸的临床治疗方式上存在不同(P二0.026)。继发性气胸需要更强有力的治疗，包括镇静吸氧、穿刺负压吸引、机械通气等手段；最终好转80例(87.9%),死亡7例(7.7%),自动岀院4例，两组患儿死亡率之间差异无统计学意义(P>0・05)。结论：新牛儿气胸仍不少见，继发性气胸尤其是医源性操作因素仍占较人比例，需耍医生提高临床操作规范，尽量避免医源性伤害。【关键词】新生儿；气胸；临床表现ClinicalAnalysisof91CasesofNewbornPneumothorax/YAOHai-juan,SUNBin./
3、/MedicalInnovationofChina,2013,10(35)：091-094[Abstract]Objective:Toinvestigatethecommoncause,clinicalmanifestation,preventionandprognosisofnewbornpneumothorax.Method：Ninety-onecasesofpneumothoraxneonateshospitalizedfromJanuary2007toDecember2012wereanalyzedretros
4、pectively.Result:Therewere23spontaneouspneumothoraxcases(25.3%),68secondarypneumothoraxcases(74.7%)accordingtothepneumothoraxtype・Theratiowas52：39maletofemale,theaveragebirthweightwas2515.7g；thereweredifferenceofgestationagebetweenspontaneousandsecondarypneumoth
5、orax(P二0.002)•Theratioofunilateralpneumothoraxwashigherthanbilateral(80.2%vs19.8%).Amongsecondarypneumothorax,meconiumaspirationhadthehighestpercentage・Thereweredifferencesintreatmentsofthetwotypes,farstrongertreatmentswereneededforsecondarypneumothorax(P=0.026)
6、•Therewereincludingsedationandoxygeninhalation,punctureandintensityvacuumaspiration,mechanicalventilation；then80casesimproved(87.9%),7casesdied(7.7%),4casesdischargedonrequest,therewerenostatisticaldifferencesindeathratebetweenthetwogroups(P>0.05)•Conelusion：New
7、bornpneumothoraxisnotrare^secondarypneumothorax,especiallycausedbymedicaloperationaccountsforalargeproportion.Doctorsshoulddevelopthestandardclinicalmanipulation,andtrytoavoidiatrogenicinjury.[Keywords]Newborn；Pneumothorax；ClinicalmanifestationFirst-author'saddr
8、ess:SoochowUniversityAffiliatedChildren，sHospital,Suzhou215000,Chinadoi：10.3969/j.issn.1674-4985.2013.35.043气胸指空气进入壁层及脏层胸膜之间导致胸腔积气的状态［1］。新牛儿气胸发病率约0.63%〜2%,死亡率15%〜20%,
