Characteristics of Pneumothorax in a Neonatal Intensive Care Unit
Journal of the Korean Society of Neonatology
; : 257-264, 2011.
Article
in En
| WPRIM
| ID: wpr-115977
Responsible library:
WPRO
ABSTRACT
PURPOSE: The development of postnatal pneumothorax and its common causes and clinical aspects were studied to promote early diagnosis and proper management. METHODS: A retrospective study of neonates who were hospitalized in the neonatal intensive care unit at Soonchunhyang University Bucheon Hospital from 2001 to 2010 was performed. Term neonates were divided into a spontaneous pneumothorax group and a secondary pneumothorax group. The secondary group was divided into term and preterm groups. RESULTS: Of 4,414 inpatients, 57 (1.3%) were diagnosed with pneumothorax. Of term newborn patients, 28 (80%) had a secondary pneumothorax, and seven (20%) had a spontaneous pneumothorax. No differences were observed for gender, birth weight, resuscitation, or duration of admission between the spontaneous and control groups. The duration of treatment with a thoracostomy (20 patients, 57%) was longer in the spontaneous group (5.4+/-2.9 days vs. 2.7+/-2.0 days) than that in the control group. Patients with respiratory distress syndrome (RDS) developed a pneumothorax 22.8 hours after surfactant treatment, whereas patients with transient tachypnea of the newborn (TTN), pneumonia, and meconium aspiration syndrome (MAS) developed pneumothorax after 16.6 hours. Of 50 patients with a secondary pneumothorax, 19 (38%) had RDS, 11 (22%) had MAS, 7 (14%) had TTN, and six (12%) had pneumonia. Among term newborns, 42.9% were treated only with 100% oxygen. Among preterm newborns, 72.6% and 27.3% needed a thoracostomy or ventilator care, respectively. CONCLUSION: A pneumothorax is likely to develop when pulmonary disease occurs in neonates. Therefore, it is important to carefully identify pneumothorax and provide appropriate treatment.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Oxygen
/
Pneumonia
/
Pneumothorax
/
Resuscitation
/
Birth Weight
/
Meconium Aspiration Syndrome
/
Thoracostomy
/
Ventilators, Mechanical
/
Intensive Care, Neonatal
/
Retrospective Studies
Type of study:
Diagnostic_studies
/
Observational_studies
/
Screening_studies
Limits:
Humans
/
Newborn
Language:
En
Journal:
Journal of the Korean Society of Neonatology
Year:
2011
Document type:
Article