All issues > Volume 32(12); 1989

Original Article

J Korean Pediatr Soc. 1989;32(12):1642-1649. Published online December 31, 1989.

Factors Associated with Pneumothorax in Hyaline Membrane Disease In fants Receiving Mechanical Ventilation.

Oh Kyung Lee¹, Kyung Hee Kim¹, Kyu Sun Choi¹, Wan Seoub Kim¹

¹Department of Pediatrics, Presbyterian Medical Center, Chonju, Korea

Received: May 11, 1989;  Accepted: September 5, 1989.

Abstract

We observed 42 cases of neonates, who were diagnosed as having Hyaline membrane disease and had been received mechanical ventilation in neonatal intensive care unit of Presbyterian medical center from July 1984 to July 1988. In order to observe the factors associated with pneumothorax, we devide these cases in two groups. First group was consists of infants with pneumothorax, second group was consists of infants without pneumothorax. And followings were obtained: 1) The incidence of pneumothorax in Hyaline membrane disease was 11.5%. 2) The survival rate in Hyaline membrane disease infants receiving mechanical ventilation was 61% and there was no difference in survival rate between two groups. 3) Gestational age, birth weight, sex, perinatal events, mode of ventilation, start of ventilation therapy, ventilation setting and severity of lung disease were not related to development of pneumoth- orax, but pulmonary interstitial emphysema was a good indicator of pneumothorax.

Keywords :Hyaline membrane disease, pneumothorax, pulmonary interstitial emphysema.