新生儿气胸31例临床分析

摘要

Objective:To analyze the clinical reasons,diagnosis and treatment methods,effect of neonatal pneumothorax.Methods:61 children patients with neonatal pneumothorax were selected.They were randomly divided into the observation group with 31 cases and the control group with 30 cases.The disease causes of two groups were analyzed.They were given conventional synthesis combined with pleural puncture closed drainage treatment,and pleural puncture closed drainage auxiliary ventilator treatment.The clinical diagnosis and treatment effect of two groups were analyzed.Results:In the disease causes,25 cases(40.98%) were asphyxia;16 cases(26.23%) were hyaline membrane disease;11 cases(18.03%) were pneumonia;6 cases(9.84%) were transient tachypnea;3 cases(4.92%) were pneumothorax.The total effective rate of the observation group was compared with that of the control group,and the difference was not statistically significant(P>0.05).Conclusion:Aimed at the etiology and pathogenesis of neonatal pneumothorax,we should actively improve the corresponding treatment measures,and the prognosis is good.%目的：分析新生儿气胸的临床原因、诊治方法和效果。方法：收治新生儿气胸患儿61例，随机分为观察组31例和对照组30例，分析两组患儿的发病原因，分别给予常规综合联合胸腔穿刺闭式引流治疗和胸腔穿刺闭式引流辅助呼吸机治疗，分析两组患儿的临床诊疗效果。结果：发病原因中，窒息25例(40.98%)，肺透明膜病16例(26.23%)，肺炎11例(18.03%)，湿肺6例(9.84%)，自发性气胸3例(4.92%)。观察组的治疗总有效率与对照组比较，差异无统计学意义(P＞0.05)。结论：针对新生儿气胸的病因及发病机制，积极改进相应治疗措施，预后良好。