Etiology and prevention of neonatal pneumothorax / 中国当代儿科杂志
Chinese Journal of Contemporary Pediatrics
; (12): 623-626, 2013.
Article
in Zh
| WPRIM
| ID: wpr-241458
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the risk factors and preventative measures for neonatal pneumothorax.</p><p><b>METHODS</b>Retrospective analysis was performed on the clinical data of 2286 neonates who were hospitalized in the neonatal intensive care unit between October 2010 and November 2011, and a case-control study was conducted to analyze the risk factors and preventative measures for neonatal pneumothorax.</p><p><b>RESULTS</b>The incidence of pneumothorax among the neonates was 1.57% (36/2286), and it was significantly higher in full-term infants than in preterm infants (23/1033 vs 13/1253, P=0.023). Logistic regression analysis indicated that cesarean section, neonatal respiratory distress syndrome (NRDS), wet lung, pneumonia and mechanical ventilation were the independent risk factors for neonatal pneumothorax (odds ratios=7.951, 6.090, 7.898, 6.272 and 4.389; P<0.05 for all). The higher the peak inspiratory pressure (PIP) during mechanical ventilation, the higher the incidence of neonatal pneumothorax (P<0.001). Pulmonary surfactant reduced the incidence of pneumothorax among neonates with NRDS (2.9% vs 10.1%; P=0.006).</p><p><b>CONCLUSIONS</b>Neonatal pneumothorax occurs mostly in full-term infants. Cesarean section, NRDS, wet lung, pneumonia and mechanical ventilation are closely associated with neonatal pneumothorax. Strict management of indications for cesarean section, keeping PIP at a low level during mechanical ventilation, and use of pulmonary surfactant are helpful in preventing neonatal pneumothorax.</p>
Full text:
1
Index:
WPRIM
Main subject:
Pneumothorax
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Respiration, Artificial
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Respiratory Distress Syndrome, Newborn
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Therapeutics
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Case-Control Studies
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Logistic Models
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Cesarean Section
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Retrospective Studies
Type of study:
Etiology_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limits:
Female
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Humans
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Male
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Newborn
Language:
Zh
Journal:
Chinese Journal of Contemporary Pediatrics
Year:
2013
Type:
Article