Nin'o A, Mikhaĭlova V, Kuiunderliev P, Dacheva S, Slŭncheva B, Iordanov K, Shishkova R
Akush Ginekol (Sofiia). 1990;29(6):18-21.
Lung barotrauma (LBT) are some of the most frequent complications in the course of mechanical ventilation (MV) in risk newborn infants. The interstitial emphysema among them is the most frequent cause for development of chronic hung diseases, but the pneumothorax induces shock state, connected with high mortality. A retrospective analysis of the histories of the disease was carried out on 18 risk newborn infants with clinical and roentgenological data for pneumothorax. Blood gases and acid-base balance were examined before the incident as well as at definite intervals after drainage of extra-alveolar air. There were considerable deviations. The results indicate considerably better prognosis of the disease, when the drainage is put immediately after establishment of the clinical diagnosis. Mortality is high, when the drainage of pneumothorax is put after the first hour.
肺气压伤（LBT）是高危新生儿机械通气（MV）过程中最常见的并发症之一。其中间质性肺气肿是慢性肺部疾病发展的最常见原因，但气胸会引发休克状态，死亡率很高。对18例有气胸临床和影像学资料的高危新生儿的疾病史进行了回顾性分析。在肺泡外气体引流前以及引流后的特定时间间隔检查血气和酸碱平衡。结果存在显著偏差。结果表明，在临床诊断确立后立即进行引流，疾病的预后会好得多。气胸在发病后1小时后进行引流，死亡率很高。
