Risk factors and related treatment strategies for neonatal pneumothorax
Objective To analyze the risk factors and related treatment strategies of neonatal pneumothorax.Methods A total of 26 neonates with pneumothorax were selected as the study group,and 26 non-pneumothorax neonates were selected as the control group.The basic conditions and disease status of the two groups were compared,the risk factor analysis was conducted,and the treatment results of the children in the study group were observed.Results The percentages of neonatal respiratory distress syndrome(NRDS),cesarean section,wet lung,pneumonia and meconium aspiration syndrome(MAS)in the study group were 30.77%,53.85%,30.77%,30.77% and 34.62%,which were higher than 3.85%,26.92%,3.85%,3.85% and 7.69% in the control group,and the difference was statistically significant(P<0.05).There were no significant differences in gender,birth time,birth weight and gestational age between the two groups(P>0.05).Multivariate Logistic regression analysis showed that NRDS,cesarean section,wet lung,pneumonia and MAS were independent risk factors for neonatal pneumothorax(OR=6.018,2.029,12.372,4.231,3.584;P<0.05).Among the 26 children included in this study,7 cases received continuous oxygen therapy,8 cases received continuous positive airway pressure ventilation,3 cases received mechanical ventilation,and 8 cases received thoracic drainage.During mechanical ventilation,2 cases developed pneumothorax,and 1 case had poor prognosis(giving up treatment or transferring to another hospital).Conclusion The risk factors for pneumothorax in newborns are independent of NRDS,cesarean delivery,wet lung,pneumonia,and amniotic fluid aspiration syndrome.The risk factors of neonatal pneumothorax are NRDS,cesarean section,wet lung,pneumonia and MAS.Targeted treatment can improve the prognosis of the neonates.
万方数据
维普
