Yunes-Zarraga J L, Velázquez-Quintana N, Villanueva-Salinas J, Rodríguez-Castillo A
Unidad de Cuidados Intensivos Neonatales, Hospital Infantil de Tamaulipas, Cuidad Victoria, México.
Bol Med Hosp Infant Mex. 1992 Apr;49(4):250-4.
We present 81 patients with diagnosis of air leaks in a Neonatal Intensive Care Unit (NICU). During 6 and a half year period. Air leaks were present in a 7.3% of overall admissions and in 18% in those whom received mechanical ventilation. We observed pneumothorax in all the patients, accompanied by pneumomediastinum in 12% and with interstitial emphysema in 7%. Other forms of air leak were present only rarely. Eighty percent of our patients were managed with intrapleural drainage. Almost 40% of events happened after resuscitation of tracheal aspiration management. The concomitant disease most often seen was respiratory distress syndrome (RDS) during it's convalescent period. Most of them had been previously placed in mechanical ventilation. We had a very high death rate, most significant in the group with weight less than 2,500 g in which 80% died. An analysis between our findings and those in literature was made.
我们报告了81例在新生儿重症监护病房（NICU）被诊断为空气泄漏的患者。在6年半的时间里，空气泄漏占总入院人数的7.3%，在接受机械通气的患者中占18%。我们观察到所有患者均有气胸，12%伴有纵隔气肿，7%伴有间质性肺气肿。其他形式的空气泄漏仅偶尔出现。我们80%的患者采用胸腔内引流治疗。近40%的事件发生在气管抽吸管理复苏后。最常见的伴随疾病是恢复期的呼吸窘迫综合征（RDS）。他们中的大多数此前已接受机械通气。我们的死亡率非常高，在体重小于2500克的组中最为显著，其中80%死亡。我们对研究结果与文献中的结果进行了分析。
