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Evaluation of Neonatal Pneumothorax
Oleh:
Apiliogullari, B.
;
Sunam, G.S.
;
Ceran, S.
;
Koc, H.
Jenis:
Article from Journal - ilmiah internasional
Dalam koleksi:
The Journal of International Medical Research vol. 39 no. 06 (Nov. 2011)
,
page 2436-2440.
Topik:
Mechanical Ventilation
;
Mortality
;
Neonatal
;
Pneumothorax
;
Respiratory Distress Syndrome
;
Risk Factors
Ketersediaan
Perpustakaan FK
Nomor Panggil:
J11.K
Non-tandon:
1 (dapat dipinjam: 0)
Tandon:
tidak ada
Lihat Detail Induk
Isi artikel
Pneumothorax progresses quickly in newborns and can lead to death. This study collected data prospectively over a 2-year period on risk factors, clinical course and prognostic factors of newborn cases diagnosed and treated for pneumothorax. Thirty patients were evaluated for risk factors including concurrent disease, method and duration of chest drainage, oxygen saturation and mechanical ventilation. Pneumothorax developed mostly in male and mature infants during the first 48 h following birth; risk factors included concurrent respiratory distress syndrome and meconium aspiration. Mechanical ventilation was undertaken in 18 (60%) of the patients. Closed-tube drainage was used in 28 (93%) of the patients. Nine out of 10 patients (90%) whose oxygen saturation remained < 90% died. Thus, pneumothorax may develop during the neonatal period, especially in the presence of risk factors, and neonates with < 90% oxygen saturation, despite treatment, have a high mortality rate.
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