How long is the risk period of neonatal pneumothorax, and how long does it take for neonatal pneumot

Pneumothorax is a spontaneous condition, and the cause is currently unknown. It is recommended that you take regular rest, avoid fatigue, and avoid severe coughing and strenuous exercise.

Neonatal pneumothorax is a common neonatal disease, which can endanger the life of newborns, and neonatal pneumothorax should not be taken lightly. If you have a neonatal pneumothorax, you must take the best measures in time, and everyone wants to know the best effect of the neonatal pneumothorax, ifHow long does it take for a neonatal pneumothorax to last**

How long does it take for neonatal pneumothorax to see the condition of large patients, and the specific situation is described as follows:

Not required: A small pneumothorax is usually not required, usually does not cause severe breathing disorders, and can be absorbed within a few days of air accumulation. Complete absorption of a large amount of pneumopleura takes 2-4 weeks.

Chest drainage tube: For patients with difficulty breathing due to large volume of air, a chest drainage tube should be considered, which is connected to a water-sealed drainage system or a one-way valve, and the gas can only be discharged and cannot regurgitate Zheng Yuchun. In patients with persistent airway-thoracic fistula leakage, a drain must be connected to a suction pump for continuous suction.

Surgery**: A small number of patients cry out for surgery**, usually with a thoracoscopy inserted into the chest cavity for surgery.

Tension pneumothorax**: emergency deflating** can prevent death. A large syringe is attached to a puncture needle inserted into the chest cavity to immediately withdraw the gas, and then the catheter is inserted to continue the degassing.

Neonatal pneumothorax is when air enters the pleural space, causing a state of pneumothorax. There are generally three main categories: spontaneous pneumothorax, traumatic pneumothorax, and artificial pneumothorax.

1. Spontaneous pneumothorax is caused by the rupture of lung tissue and visceral pleura due to lung disease, or due to the rupture of vesicles and bullae near the lung surface, and the air in the lungs and bronchi enters the pleural space.

2. Traumatic pneumothorax is caused by air entering the pleural space after trauma.

3. Artificial pneumothorax refers to the entry of air into the pleural space due to man-made reasons. The purpose of pneumothorax is to promote recruitment of the affected side, elimination, and reduction. Basic measures include conservative, exhaust, preventive, surgical and complications.

Neonatal pneumothorax is not very common, I haven't met it for a long time, a newborn came last week, the gestational age and weight are suitable for the gestational age baby, but the breathing has been very fast after birth, the blood oxygen can't go up, and a pneumothorax is a pneumothorax.

1. What is a pneumothorax?

Lung air leaks occur more frequently in the neonatal period than in any other life period. It occurs when air escapes from the lungs into the extraalveolar space, which is not normally present. The resulting disease depends on the location of the air.

The most common conditions are pneumothorax, mediastinal emphysema, interstitial emphysema, and pneumopericardium. The larger forms are pneumoperitoneum and subcutaneous emphysema.

Second, it turns out that pneumothorax is only a kind of neonatal lung leakage, what is the reason for the occurrence?

The air leak begins with the rupture of the alveoli in the old alveoli of the overdistended, and the overexpansion may be due to widespread air trapping or uneven gas distribution. Air is dissected along the perivascular connective tissue sheath towards the hilum of the lung, resulting in pneumomediastinum, or into the pleural space, producing a pneumothorax or, less commonly, air may break down into the pericardial space, subcutaneous tissue, or peritoneal space, causing pneumopericardium, subcutaneous emphysema, and pneumoperitoneum, respectively.

Most air leak events occur in neonates with underlying lung disease, particularly if mechanical ventilation is required. Preterm infants are at increased risk because they often have respiratory distress syndrome (RDS), although substitution with surfactant** reduces morbidity.

Air leaks also complicate lung disease that affects full-term infants. Pneumothorax is a common complication of meconium aspiration syndrome, accounting for 10 to 30 of affected infants

Other conditions that predispose to pneumothorax include pulmonary hypoplasia (in which pneumothorax is usually bilateral), pneumonia, and transient tachypnea in neonates.

Mechanical ventilation increases the risk of air leakage. Contributing factors include high inspiratory pressure, high tidal volume, and long inspiratory duration. However, in case-control studies of ventilated neonates, unintentional hyperventilation (indicated by low carbon dioxide tone) was not associated with pneumothorax.

3. What are the manifestations of pneumothorax?

Infants with small pneumothorax may be asymptomatic.

Symptoms of respiratory distress such as shortness of breath, grunting, pallor and cyanosis are usually accompanied by the disease.

An early indication of pneumothorax may be a sudden drop in the voltage of the QRS complex during oscillocardiac tracking [15].

The chest is asymmetrical and the affected side is enlarged.

Decreased breath sounds on the affected side.

The point of maximal cardiac impulse deviates from the affected side.

Large-tension pneumothorax increases intrathoracic pressure, which may lead to increased central venous pressure and decreased venous return. This, in turn, can lead to a decrease in cardiac output, leading to hypotension, bradycardia, and hypoxemia.

Fourth, ** method.

Thoracentesis - Thoracentesis is used for symptomatic pneumothorax. This may be the only intervention required for the infant without mechanical ventilation, a process that involves inhaling air using a syringe needle attached to a 23 or 25 gauge scalp venous needle or an 18 to 20 gauge vascular catheter. Usually the upper edge of the rib is punctured.

Our newborn underwent thoracentesis on the same day, aspirated 45ml of gas, and his condition stabilized.