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http://dx.doi.org/10.5385/jksn.2011.18.2.257

Characteristics of Pneumothorax in a Neonatal Intensive Care Unit  

Lim, Ho-Seop (Department of Pediatrics, College of Medicine, Soonchunhyang University)
Kim, Ho (Department of Pediatrics, College of Medicine, Soonchunhyang University)
Jin, Jang-Yong (Department of Pediatrics, College of Medicine, Soonchunhyang University)
Shin, Young-Lim (Department of Pediatrics, College of Medicine, Soonchunhyang University)
Park, Jae-Ock (Department of Pediatrics, College of Medicine, Soonchunhyang University)
Kim, Chang-Hwi (Department of Pediatrics, College of Medicine, Soonchunhyang University)
Kim, Sung-Shin (Department of Pediatrics, College of Medicine, Soonchunhyang University)
Publication Information
Neonatal Medicine / v.18, no.2, 2011 , pp. 257-264 More about this Journal
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${\pm}$2.9 days vs. 2.7${\pm}$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.
Keywords
Pneumothorax; Neonate; Respiratory distress syndrome; Meconium aspiration syndrome;
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