Bir Yenidoğan Yoğun Bakım Ünitesinde Pnömotoraks Tanısıyla Yatan Hastaların Retrospektif Değerlendirilmesi

Yakında, Hüseyin; Aslan, Mehmet; Kurnaz, Erdal; Gündüz, Ahmet; Özdemir, Ramazan; Karadağ, Ahmet
September 2013
Journal of Turgut Ozal Medical Center;2013, Vol. 20 Issue 3, p252
Academic Journal
Aim: Pneumothorax is one of the important etiologic factors in newborns that causes respiratory distress. Pneumothorax usually occurs in newborns under mechanical ventilation. Respiratory distress syndrome, meconium aspiration syndrome and resuscitation after birth may also cause pneumothorax. In this study, we retrospectively analyzed newborn who were hospitalized for pneumothorax in our newborn intensive care unit. Material and Methods: We retrospectively analyzed 56 cases who were hospitalized for pneumothorax in our newborn intensive care unit between 2008-2011. These cases were evaluated according to demographic characteristics, diagnosis, treatment, duration the hospitalization and prognosis. The diagnosis was made by chest x-rays. Cases were treated with chest tube drainage. For statistical analysis, Pearson Chi Square test and Fisher's Exact test were used and p <0.05 was considered statistically significant. Results: Frequency of pneumothorax was higher in males and term infants. Additionally unilateral pneumothorax and left side was seen more often. Respiratory distress syndrome was found to be the most common primary lung disease. Perinatal asphyxia was the most common coexisting disease. In our study; pneumothorax developed in 21 patients during mechanical ventilation support. The mortality rate was 48,2%. There was a significant relationship between mortality and the side of pneumothorax, accompanying disorders, need for surfactant, resuscitation and development of pneumothorax under mechanical ventilation (p<0,05). Conclusion: Pneumothorax is a life-threatening condition with high mortality and morbidity. We found that the mortality rate was higher in patients who developed pneumothorax under mechanical ventilation, needed surfactant, was resuscitated during delivery, who had bilateral pneumothorax and accompanying disorders.


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