Maksić H, Heljić S, Maksić S, Jonuzi F
Pedijatrijska klinika, Klinicki centar Univerziteta u Sarajevu.
Med Arh. 2000;54(5-6):271-2.
The pulmonary complications (PC) during mechanical ventilation were caused by barotrauma, infection, oxygen toxicity and excessive pulmonary extravascular fluid. The most frequent manifestations are: pneumothorax, pulmonary haemorrhage and lobar or segmental athelectasis. This is a retrospective study conducted between 1.1.1990 till 31.8.2000. The aim of this study was to evaluate the frequency of the pulmonary complications during mechanical ventilation in 163 ventilated neonates, as well as the relation towards gestational age, birth weight, primary disease and the outcome. The most common causes for mechanical ventilation were: hyaline membrane disease in 95 (58.3%) preterm babies, perinatal asphyxia in 26 (16%) and less frequent conditions such as: apnea, congenital heart diseases, neonatal infections and surgical cases. 25/163 (15.3%) ventilated pts have developed pneumothorax, 29 (17.7%) athelectasis and 14 (8.5%) pts had pulmonarly haemorrhage. The pulmonary complications were more frequent in preterm newborns with significant influence at the duration of the ventilation and the outcome. However, pulmonary complications could not be completely avoid, so we would like to underline the importance of preventive measures with the aim of decreasing PC incidence.
机械通气期间的肺部并发症（PC）由气压伤、感染、氧中毒和肺血管外液体过多引起。最常见的表现为：气胸、肺出血和肺叶或节段性肺不张。这是一项于1990年1月1日至2000年8月31日期间进行的回顾性研究。本研究的目的是评估163例接受机械通气的新生儿中肺部并发症的发生率，以及与胎龄、出生体重、原发病和预后的关系。机械通气最常见的原因是：95例（58.3%）早产儿患透明膜病，26例（16%）患围产期窒息，以及诸如呼吸暂停、先天性心脏病、新生儿感染和外科病例等较少见的情况。163例接受通气的患者中有25例（15.3%）发生气胸，29例（17.7%）发生肺不张，14例（8.5%）发生肺出血。肺部并发症在早产儿中更常见，对通气持续时间和预后有显著影响。然而，肺部并发症无法完全避免，因此我们想强调预防措施的重要性，以降低PC的发生率。
