Authors
1
Pediatrician, Central Child Teaching Hospital, Baghdad, Iraq.
2
Consultant Pediatrician, al Yarmuk Teaching Hospital, Baghdad, Iraq
,
Document Type : Research Paper
Abstract
BACKGROUND:
Pneumothorax is the most common air-leak syndrome in neonatal period. It can be defined as accumulation of air between the parietal and visceral pleura.
OBJECTIVE:
To study the general characteristics, risk factors, causes, management details, and the outcomes of neonatal pneumothorax.
PATIENTS AND METHODS:
It is a prospective observational study included thirty infants at neonatal intensive care unit at Al-Yarmouk teaching hospital from 1st of October 2018 to the 30th of September 2019 and Patients were evaluated for: gender, gestational age, birth weight, Apgar score at 1&5 minutes, mode of delivery, time of pneumothorax development, localization, and the presence of lung pathology.
RESULTS:
During the study period, 1967 neonates admitted to Neonatal Intensive Care Unit, thirty infants were diagnosed. The incidence was 1.52%. This study showed that (70%) of neonates were male and (60%) had low birth weight. Respiratory distress syndrome was found in (60%). It occurs spontaneously in (23%), after invasive mechanical ventilation in 6 cases, and after noninvasive ventilation in 17 cases. Tube thoracostomy and closed underwater drainage were performed in 26 cases. Mortality rate was 43,3%.
CONCLUSION:
Pneumothorax occur more frequently with use of assisted ventilation, especially those with underlying medical illnesses, and it carries high risk mortality.
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