新生儿气胸：新生儿转运与足月儿的比较

Neonatal pneumothorax: comparison between neonatal transfers and inborn infants.

作者信息

Trevisanuto Daniele, Doglioni Nicoletta, Ferrarese Paola, Vedovato Stefania, Cosmi Erich, Zanardo Vincenzo

机构信息

Pediatric Department, Medical School, University of Padova, Padova, Italy.

出版信息

J Perinat Med. 2005;33(5):449-54. doi: 10.1515/JPM.2005.079.

DOI:10.1515/JPM.2005.079

PMID:16238541

Abstract

OBJECTIVE

To assess the differences in clinical characteristics, management and outcome between the neonatal transfers and inborn neonates with pneumothorax.

METHODS

The records of 36 neonatal transfers (Group A) and 25 inborn (Group B) neonates with symptomatic pneumothorax were retrospectively analyzed.

RESULTS

In Group A, gestational age (36+/-2 vs. 31+/-4 weeks; P<0.01), birth weight (2720+/-537 vs. 1736+/-1028 g; P<0.01), exclusive oxygen-therapy before the event (47% vs. 20%; P<0.05) and tube thoracostomy (78% vs. 44%; P<0.05) were significantly higher than in Group B. The need of resuscitation at birth (19% vs. 44%; P<0.05), conventional mechanical ventilation (20% vs. 56%; P<0.05), presence of associated major congenital malformations (0% vs. 20%; P<0.01), length of hospital stay (9+/-6 vs. 32+/-32 days; P=0.01) and mortality (0% vs. 16%; P=0.01) were significantly lower in Group A than in Group B.

CONCLUSIONS

Neonatal transfers and inborn neonates with pneumothorax have different clinical characteristics and outcome. This information could be useful for all persons involved in the interhospital care of perinatal patients.

摘要

目的

评估气胸新生儿转运病例与自产新生儿在临床特征、治疗及预后方面的差异。

方法

回顾性分析36例气胸新生儿转运病例（A组）及25例自产气胸新生儿（B组）的记录。

结果

A组的胎龄（36±2周 vs. 31±4周；P<0.01）、出生体重（2720±537 g vs. 1736±1028 g；P<0.01）、发病前单纯氧疗比例（47% vs. 20%；P<0.05）及胸腔闭式引流比例（78% vs. 44%；P<0.05）均显著高于B组。A组出生时需要复苏的比例（19% vs. 44%；P<0.05）、常规机械通气比例（20% vs. 56%；P<0.05）、合并主要先天性畸形的比例（0% vs. 20%；P<0.01）、住院时间（9±6天 vs. 32±32天；P=0.01）及死亡率（0% vs. 16%；P=0.01）均显著低于B组。