Exploring the etiology and risk factors of neonatal pneumothorax
Objective To explore the etiology and risk factors of neonatal pneumothorax.Methods A clinical study was conducted on 42 newborns,and they were grouped into an observation group(with pneumothorax)and a control group(without pneumothorax)based on whether they had pneumothorax,each consisting of 21 cases.The etiology of neonatal pneumothorax in observation group was analyzed;the status of neonatal respiratory distress syndrome,wet lung and pneumonia,the mode of delivery,whether they were full-term,whether they received mechanical ventilation or asphyxia resuscitation,their weight,and their gender were recorded;the risk factors for neonatal pneumothorax were analyzed.Results Among 21 children with pneumothorax,5 cases were spontaneous pneumothorax,8 cases were pathological pneumothorax,and 8 cases were iatrogenic pneumothorax.Univariate analysis showed that the incidence of neonatal respiratory distress syndrome,wet lung,cesarean section,mechanical ventilation,asphyxia resuscitation,and pneumonia were 19.05%,42.86%,66.67%,52.38%,19.05%,and 71.43%in the observation group,which were higher than 0,4.76%,28.57%,4.76%,0,and 9.52%in the control group;the full-term rate of 38.10%in the observation group was lower than 95.24%in the control group;the difference was statistically significant(P<0.05).The factors with P<0.05 in the univariate analysis were included in the multivariate Logistic regression model for analysis,and the results showed that pneumonia,neonatal respiratory distress syndrome,mechanical ventilation,and cesarean section were risk factors for the development of pneumothorax(P<0.05).Conclusion The causes of neonatal pneumothorax can be mainly divided into three categories:spontaneous,iatrogenic,and pathological.Newborns with risk factors of pneumonia,mechanical ventilation,cesarean section,and neonatal respiratory distress syndrome should be paid more attention and be prepared for the development of pneumothorax.
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