新生儿气胸临床分析

目的：探讨新生儿自发性气胸与非自发性气胸患儿的病因、临床表现、治疗及预后的差异。方法对2011年7月～2013年9月郑州市第一人民医院新生儿科收治的36例新生儿气胸临床资料进行回顾性分析，36例患儿分为自发性气胸组（16例），非自发性气胸组（20例），比较两组患儿胎龄、性别、出生体重、分娩方式、气胸发生部位、压缩面积、治疗及结局有何差异。结果两组间胎龄、性别、出生体重、压缩面积、气胸部位及治疗结局均无显著性差异。自发性气胸组患儿中剖宫产儿所占比例高于非自发性气胸组（P=0.018），而需闭式引流比例低于非自发性气胸组（P=0.023）。结论剖宫产可能是自发性气胸的危险因素。与非自发性气胸相比，自发性气胸经保守治疗更易于自行吸收。

Clinical analysis of pneumothorax in neonates

Objective To explore the difference between the neonates with spontaneous pneumothorax and non-spontaneous pneumothorax in the etiology, clinical manifestations, treatment and prognosis. Methods The clinical data of 36 neonates with pneummothorax that were diagnosed and treated from July 2011 to September 2013 were analysed.36 neonates with pneummothorax were divided into two groups： spontaneous pneumothorax and non-spontaneous pneumothorax.The difference in the gestation age,gender,birth weight,delivery type,site of the pneumothorax, compressed area,method of treatment and outcom between two groups were analysed. Result There was no significant difference in gestation age,gender,birth weight,site of the pneumothorax,compressed area and treatment outcom.Compared with the group of non-spontaneous pneumothorax, more neonates were born by cesarean section in the spontaneous pneumothorax group（P=0.018）.The ratio of closed thoracic drainage in the spontaneous pneumothorax group was lower than it in the non-spontaneous pneumothorax. Conclusion Cesarean section may be a risk factor for spontaneous pneumothorax.Spontaneous pneumothorax is more easy to be cured by conservative treatment than non-spontaneous pneumothorax.