Characteristics of Pneumothorax in a Neonatal Intensive Care Unit.
10.5385/jksn.2011.18.2.257
- Author:
Ho Seop LIM
1
;
Ho KIM
;
Jang Yong JIN
;
Young Lim SHIN
;
Jae Ock PARK
;
Chang Hwi KIM
;
Sung Shin KIM
Author Information
1. Department of Pediatrics, College of Medicine, Soonchunhyang University, Bucheon, Korea. kimss@schmc.ac.kr
- Publication Type:Original Article
- Keywords:
Pneumothorax;
Neonate;
Respiratory distress syndrome;
Meconium aspiration syndrome
- MeSH:
Birth Weight;
Early Diagnosis;
Humans;
Infant, Newborn;
Inpatients;
Intensive Care, Neonatal;
Lung Diseases;
Meconium Aspiration Syndrome;
Oxygen;
Pneumonia;
Pneumothorax;
Resuscitation;
Retrospective Studies;
Thoracostomy;
Transient Tachypnea of the Newborn;
Ventilators, Mechanical
- From:Journal of the Korean Society of Neonatology
2011;18(2):257-264
- CountryRepublic of Korea
- Language:English
-
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.
