증상이 있는 신생아 자발성 기흉의 관련 질환과 예후 (Symptomatic Spontaneous Pneumothorax in the Newborn : Comorbidities and Outcomes)

서지정보

· 발행기관 : 대한신생아학회
· 수록지 정보 : Neonatal medicine / 15권 / 2호 / 166 ~ 171페이지
· 저자명 : 주지원, 양은미, 손영준, 김미정, 송은송, 변형석, 최영륜

초록

Purpose : This study was performed to determine the rate of neonatal symptomatic spontaneous
pneumothorax, and the corresponding clinical characteristics, co-morbidities, and
outcomes.
Methods : The demographic characteristics, clinical symptoms and signs, associated abnormalities,
methods of treatment, and outcomes were investigated in 22 neonates with symptomatic
spontaneous pneumothorax in the neonatal intensive care unit (NICU) of Chonnam
University Hospital between March 2003 and February 2008.
Results : The rate of spontaneous pneumothorax was 0.55%. Among the 22 neonates, the
number of outborns was 15 (68.2%) and the number of males was 12 (54.5%). The main
symptoms and signs were chest retraction, tachypnea, and cyanosis. The pneumothoraces
were more frequent on the right side (59.1%) and all cases were diagnosed within 3 days
of life. Four cases (18.2%) had urologic abnormalities and 7 cases (31.8%) had cranial abnormalities
by ultrasonography. The treatments included oxygen (81.8%) and oxygen with chest
tube drainage (18.2%). All of the infants survived and the overall outcomes were favorable.
Conclusion : When respiratory symptoms and signs are develop abruptly in otherwise
healthy newborns, the clinician should suspect a spontaneous pneumothorax and check a
chest x-ray as soon as possible. Although the outcome of neonatal symptomatic spontaneous
pneumothorax is favorable, renal and cranial ultrasonography are needed because of the
higher possibility of urologic abnormalities and germinal matrix/intraventricular hemorrhage
than in newborns without a pneumothorax.

영어초록

Purpose : This study was performed to determine the rate of neonatal symptomatic spontaneous
pneumothorax, and the corresponding clinical characteristics, co-morbidities, and
outcomes.
Methods : The demographic characteristics, clinical symptoms and signs, associated abnormalities,
methods of treatment, and outcomes were investigated in 22 neonates with symptomatic
spontaneous pneumothorax in the neonatal intensive care unit (NICU) of Chonnam
University Hospital between March 2003 and February 2008.
Results : The rate of spontaneous pneumothorax was 0.55%. Among the 22 neonates, the
number of outborns was 15 (68.2%) and the number of males was 12 (54.5%). The main
symptoms and signs were chest retraction, tachypnea, and cyanosis. The pneumothoraces
were more frequent on the right side (59.1%) and all cases were diagnosed within 3 days
of life. Four cases (18.2%) had urologic abnormalities and 7 cases (31.8%) had cranial abnormalities
by ultrasonography. The treatments included oxygen (81.8%) and oxygen with chest
tube drainage (18.2%). All of the infants survived and the overall outcomes were favorable.
Conclusion : When respiratory symptoms and signs are develop abruptly in otherwise
healthy newborns, the clinician should suspect a spontaneous pneumothorax and check a
chest x-ray as soon as possible. Although the outcome of neonatal symptomatic spontaneous
pneumothorax is favorable, renal and cranial ultrasonography are needed because of the
higher possibility of urologic abnormalities and germinal matrix/intraventricular hemorrhage
than in newborns without a pneumothorax.

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