Clinical analysis of 14 newborns with neck masses / 中国小儿急救医学

ABSTRACT

Objective To investigate the clinical features,diagnosis and treatment of neck masses in newborns. Methods All cases of neck masses in newborns admitted to NICU of Beijing Children's Hospital form January 2016 to Febrary 2018 were included,and the clinical manifestations,examinations,treatments and outcomes were evaluated. Results Fourteen cases of newborn's neck masses were collected. The time of onset was 8 cases at birth,1 case earlier than 7 days,5 cases after 7 days. Seven cases were admitted with dyspnea,10 cases combined with neck infections. Neck ultrasound examinations were performed in all 14 cases,CT scan in 2 cases,MRI in 10 cases. Five cases were given endotracheal intubation after admission, among them 3 cases needed mechanical ventilation. Nasal continuous positive airway pressure was used in 3 cases. Thirteen cases received anti-infective treatment. Punctures were performed in 4 cases. Surgical resec-tions were taken in 6 cases. Two cases were diagnosed as local primary infection. Six cases were confirmed by surgery,including 4 cases of branchial cleft cyst,1 case of esophageal duplication and 1 case of lymphangio-ma. Conclusion The neck masses of the newborn is prone to upper airway obstruction. Part of them need endotracheal intubation to open the airway. And the infection can be combined. There is a certain rate of misdiagnosis before operation,and the treatment plan is different according to the nature of the mass.