新生儿自发性气胸1例:原始影像、治疗过程及随访

Muhammet Mesut Nezir Engin, Gülden Ak, Önder Kılıçaslan
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引用次数: 1

摘要

气胸是一种胸腔内胸膜壁叶和内脏叶之间存在自由空气的情况。她在妊娠第38周通过剖宫产出生,体重为2780克。由于患者有呼吸急促和肋间挛缩,在另一家医院住院并开始治疗。在住院的第二天,他在胸片上发现了气胸,并被转介到我们这里。患者来门诊时,一般情况较差,有呼吸急促、肋间抽脱、呻吟呼吸。当患者饱和度低时,插管并连接机械呼吸机。置胸管,行自由引流。由于他的一般情况良好,实验室检查结果有所改善,没有其他困难,她于住院第9天出院。在新生儿期出现突发性呼吸窘迫时应考虑自发性气胸。诊断为气胸的患者应立即置管,有呼吸窘迫的患者应评估并给予支持治疗。
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Spontaneous pneumothorax in a newborn case report: original image, treatment process and follow-up
Pneumothorax is a condition where there is free air between the parietal and visceral pleural leaves within the thoracic cavity. She was born with a cesarean section of 2780grams in 38th gestational week. As the patient had tachypnea and intercostal retractions, he was hospitalized in another hospital and started treatment. On the second day of hospitalization, pneumothorax was seen on the posterior anterior chest radiograph and he was referred to us. When the patient came to our clinic, his general condition was poor, tachypnea, intercostal withdrawal and groan breathing were present. When the patient had low saturation, he was intubated and connected to a mechanical ventilator. The chest tube was placement and free drainage was performed. She was discharged on the 9th day of his hospitalization because of his good general condition, improved laboratory findings and no additional difficulties. Spontaneous pneumothorax should be considered in the presence of sudden respiratory distress in the newborn period. Patients diagnosed with pneumothorax should be immediately chest tube placement, patients with respiratory distress should be evaluated and given supportive treatment.
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