Abstract

Objective: Pneumothorax,
which is an important cause of morbidity and mortality especially in premature
infants, is the most common neonatal period in childhood. Our aim is to
evaluate newborns diagnosed as pneumothorax in our unit.

Material and Methods: The
records of newborn babies who were diagnosed as pneumothorax in the Neonatal
Intensive Care Unit of Zekai Tahir Burak Women's Health Education and Research
Hospital between January 1, 2015 and December 31, 2015 were analyzed
retrospectively. Newborn infants who were diagnosed radiologically as
pneumothorax were included in the study. Major congenital anomalies were
excluded from the study.

Results: The incidence of
pneumothorax was 0.37% in all live births and 2.6% in the neonatal intensive
care unit. The mean gestation age of the babies was 34.2 ± 3.6 weeks and birth
weight was 2322 ± 841 gr. Of the 67 newborns with pneumothorax, 49 were male
(73.1%), and 59 (88.1%) were born by cesarean section. TTN (38.8%) and RDS
(31.3%) were the most common underlying pulmonary diseases in infants who
developed pneumothorax. For the treatment of pneumothorax, 50 (74.7%) babies
were treated with chest tube and 17 (25.3%) had no chest tube. Gestational age
and birth weight were significantly lower in the drainage group (p <0.05).
The duration of MV and NDA was significantly longer in the drainage group, but
the free oxygen requirement was longer, but there was no significant
difference. There was no difference between the two groups in terms of preterm
morbidity and mortality.











Conclusion: In
neonatal period, pneumothorax is frequently encountered and usually within the
first two days. The most common underlying lung disease in premature infants is
RDS, while term infants is TTN. About ¾ of newborns developing pneumothorax
should be treated by inserting a chest tube. In case of pneumothorax development
in infants with gestational age <32 weeks, a chest tube should be inserted
in almost all of them. In infants who need drainage, the duration of invasive
and noninvasive respiratory support and the time of hospitalization are
significantly longer.

Keywords: Pneumothorax, incidence, drainage

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How to cite

1.
Büyüktiryaki M, Alyamaç Dizdar E, Okur N, Özer Bekmez B, Tayman C. PNEUMOTHORAX IN NEWBORN AND COMPARISON OF DEMOGRAPHIC AND CLINICAL FEATURES ACCORDING TO DRAINAGE TREATMENT REQUIREMENT WITH CHEST TUBE. Turk J Pediatr Dis [Internet]. 2019 Mar. 26 [cited 2025 May 25];13(2):50-6. Available from: https://turkjpediatrdis.org/article/view/619