Özet:

INTRODUCTION: In this study, patients treated by taking tube torakostomy in neonatal intensive care unit of our hospital the diagnosis of pneumothorax was designed to determine risk facktors affecting mortality and morbidity. METHODS: 55 newborns (23 Fernale /32 Male) with pneumothorax, who were treated with tube thoracostomy in Newborn Unit between ]anuary 2005 and ]anuary 2011, were analysed retrospectively. The patients were evaluated in regard to age, demographic characteristics, associated with primary lung disease, the presence of additional abnormalities, side of pneumothorax, the ventilation requirement bejare and after the pneumothorax,duration of drainage, duration in hospital and mortality rates. RESULTS: Pneumothorax requiring drainage detected 55 cases,in this 23 female (42%), 32 ma/e (58%) and the average age of diagnosis was 3.31gün (1day 30days). The main symptoms were respiratory distress, takipnea and syanosis. 41 patients (74%) were premature with gestational ages ranged from 24-36.weeks. 14 patients (26%) were born at 37 weeks. Postmature patient was not available. 34 patients (61%) in the right, 18 patients (33%) in the left, 3 patients (6%) had bilateral pneumothorax. In 29 patients (53.7%) had primary pulmonary disease. 20 patients (37%) had additional abnormalities. When 41 patient was needed ventilation before tube thoracostomy, 40 patients was needed the ventilator after tube thoracostomy. 15 patients (27%) recovered with healing,the mean duration of drainage was 7.16 days.40 patients (73%) had died and the mean duration of drainage was 5.1 days.3 patients with bilateral pneumothorax has died. Patients who recovered the average length of stay in hospital was 15.5 days. Patients who died the average length of stay in hospital was 12 days. DISCUSSION AND CONCLUSION: The prematurity, underlying primary lung disease and mechanical ventilation practices the presence of predisposing factors for the development of pneumothorax. Pneumothorax in the neonatal period developed high mortality rate.Early diagnosis and treatment of pneumothorax is important in reducing mortality Especially in newborn infants on mechanical ventilation should be ruled out pneumothorax in suddenly breaks down the overall situation.

Anahtar Kelimeler: