| Relationship between underlying disease and time at onset of neonatal pulmonary air leak. |
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Young Yaek Jang, Kyong Nyong Kim, Jong Lim Choi, Ok Kyung Lee |
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Department of Pediatrics, Presbyterian Medical Center, Jeon Ju, Korea. |
| 신생아 폐외공기누출의 원인질환과 발생시기와의 관계 |
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장영택, 김경녕, 최종림, 이오경 |
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전주 예수병원 소아과 |
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Received: 27 November 1990 • Accepted: 23 March 1991 |
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| Abstract |
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We observed 38 cases of neonatal pulmonary air leak who were admitted to the nicu of Presbyter-
ian Medical center from July, 1984 to October, 1990.
The result was as follows:
1) The overall incidence of neonatal pulmonary air leak was 0.15% of all live birth. Spontaneous
pulmonary air leak were 6cases (0.03%) and secondary pulmonary air leak were 21 cases (0.12%).
2) There were no differences in birth weight and gestational age. But neonatal pulmonary air leak
was donimant in male, normal spontaneous vaginal delivery babies and in the right lung.
3) The underlying pulmonary disease were hyaline membrane disease (39.5%) and meconium
aspiration syndrome (26.3%) in the majority.
4) In the comparison to the pulmonary air leak in hyaline membrane disease which usually
developed after the first day of life, pulmonary air leak in meconium aspiration usually developed
within 24 hours after birth.
5) In the treatment, 10 cases were treated with oxygen therapy, and 8 cases were treated with
needle aspiration, and 20 cases were treated with chest tube insertion with under water seal drainage,
but in 14 cases (36.8%) the patient died. |
| Key Words:
Neonatal pulmonary air leak |
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