新生儿气胸的病因、发生机理和治疗方法探讨

目的:探讨新生儿气胸的原因,发生机理和治疗方法.方法:采用本院2002年1月至2005年11月收治的新生儿气胸33例资料,着重分析其原因,发生机理和治疗措施,结合文献仔细研讨.结果:根据新生儿气胸发生原因和机理,可将其分为4种类型.其中医源性15例(45.5%);自发性11例(33.3%);病理性7例(21.2%);特发行气胸,少见,本组未见此类病例.结论:针对新生儿气胸4种不同的原因和发病机理,积极采取相应的临床措施,预后良好.

A Study on the Etiology, Pathogenesis and Management of Newborn Pneumothorax

Objective:To investigate the etiology,pathogenesis and management of newborn pneumothorax.Methods: The data of 33 cases of newborn pneumothorax admitted in our hospital from Jan.2002 to Nov.2005 were analyzed for etiology,pathogenesis and management and compared with publications.Results: The pneumothorax in newborns may be categorized into four types based on its etiology and pathogenesis,including iatrogenic pneumothorax(15 cases,45.5%),spontaneous pneumothorax(11 cases,33.3%),pathologic pneumothorax(7 cases,21.2%) and idiopathic pneumothorax(rarely seen,not found in this series).Conclusion: Selection of clinical management for newborn pneumothorax based on different etiology and pathogenesis would result in favorable treatment outcomes.