Pnömotorakslı yenidoğan olguların altta yatan akciğer patolojileri açısından değerlendirilmesi

Mahli Batuhan Özdoğar; Dilem Eriş; Muzaffer Coşkun; Murat Ayar; Özgür Olukman

doi:10.19161/etd.1603366

EN TR

Evaluation of neonatal pneumothorax cases in terms of underlying lung pathologies

Abstract

Aim: This study aimed to compare newborns who were diagnosed and treated for pneumothorax due to various respiratory problems with those who had respiratory issues but did not develop pneumothorax in the neonatal intensive care unit. The comparison focused on epidemiological characteristics, risk factors, clinical course, and prognostic factors. Materials and Methods: This retrospective cross-sectional study included 32 patients from 246 admitted to the neonatal intensive care unit for various respiratory problems in the early neonatal period between January 2020 and March 2021. The cases were divided into two groups: patients diagnosed and treated for pneumothorax while being monitored for respiratory problems (pneumothorax group, n=14) and patients with respiratory issues who continued to be monitored without developing pneumothorax (control group, n=18). Patient data were collected retrospectively from medical records and hospital databases. Results: When the demographic characteristics of the groups were compared, no statistically significant differences were found between the two groups (p>0.05). Comparing clinical and radiological findings, it was observed that the duration of both non-invasive and invasive mechanical ventilation, antibiotic treatment, total parenteral nutrition, and transition to total oral feeding were longer in the pneumothorax group (p<0.05). Upon examining the clinical and radiological findings of the pneumothorax group, it was found that the diagnosis of pneumothorax was made on average within 27.3 hours, air leakage predominantly occurred in the left hemithorax (64.3%), 78.6% of the newborns had no additional air leakage findings or complications related to thoracic tube insertion, and the average duration of closed underwater drainage was 4.1 days. Conclusion: This study demonstrated that pneumothorax in the neonatal period frequently occurs in cesarean-delivered infants, is more common in males, and is mostly located on the left hemithorax. The monitoring and treatment processes of infants who developed pneumothorax were shown to differ from those of infants without pneumothorax. The findings emphasize that clinicians' awareness of these characteristics can influence the clinical course and prognosis.

Keywords

Pnömotorakslı yenidoğan olguların altta yatan akciğer patolojileri açısından değerlendirilmesi

Öz

Amaç: Bu çalışmada çeşitli solunumsal sorunlar nedeniyle yenidoğan yoğun bakım ünitesinde izlenirken pnömotoraks gelişen ve müdahale edilen bebeklerle, pnömotoraks gelişmeyen solunumsal sorunları olan bebeklerin epidemiyolojik özellikler, risk faktörleri, klinik seyir ve prognostik faktörler yönünden karşılaştırılması amaçlanmıştır. Gereç ve Yöntem: Bu retrospektif, kesitsel çalışmaya Ocak 2020-Mart 2021 tarihleri arasında çeşitli solunumsal sorunlar nedeniyle erken neonatal dönemde yenidoğan yoğun bakım ünitesine yatışı yapılan 246 hastadan 32’si dahil edildi. Olgular çeşitli solunumsal sorunları nedeniyle izlenirken pnömotoraks tanısı alan ve müdahale edilen hastalar (pnömotoraks grubu) (n=14) ve pnömotoraks gelişmeden solunum sorunları nedeniyle takibine devam edilen hastalar (kontrol grubu) (n=18) olmak üzere iki gruba ayrıldı. Hasta bilgileri geriye dönük hasta dosyalarından ve hastane veri tabanından taranarak kaydedildi. Bulgular: Gruplar demografik özellikleri bakımından karşılaştırıldığında iki grup arasında istatistiksel anlamlı farklılık saptanmadı (p>0,05). Klinik ve radyolojik bulgular kıyaslandığında gerek non-invaziv, gerekse de invaziv mekanik ventilasyon tedavi süresinin, antibiyotik tedavi süresinin, total parenteral beslenme süresinin ve total oral beslenmeye geçiş süresinin pnömotoraks grubunda daha uzun olduğu görüldü (p<0,05). Pnömotoraks grubunun klinik ve radyolojik bulguları incelendiğinde pnömotoraks tanısının ortalama 27,3 saat içerisinde konulduğu, hava kaçağının çoğunlukla sol hemitoraksta gerçekleştiği (%64,3), yenidoğanların %78,6’sında eşlik eden ek hava kaçağı bulgusunun veya toraks tüpüne bağlı komplikasyonun olmadığı, kapalı su altı drenaj süresinin ortalama 4,1 gün olduğu görüldü. Sonuç: Bu çalışmada neonatal dönemde pnömotoraksın sıklıkla sezaryenle doğan bebeklerde, en sık erkeklerde ve sol hemitoraksta olduğu gösterilirken, pnömotoraks gelişen bebeklerin izlem ve tedavi süreçlerinin pnömotoraks gelişmeyen bebeklere göre farklılıkları ortaya konmuş ve klinisyenlerin bu özellikler açısından farkındalıklarının seyir ve prognozu etkileyebileceğine dikkat çekilmek istenmiştir.

Anahtar Kelimeler

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Ayrıntılar

Birincil Dil

Türkçe

Konular

Çocuk Göğüs Hastalıkları

Bölüm

Araştırma Makalesi

Yazarlar

Mahli Batuhan Özdoğar ^*
0000-0003-3307-2863
Türkiye

Dilem Eriş
0000-0002-1543-2979
Türkiye

Muzaffer Coşkun
0009-0004-9685-7566
Türkiye

Murat Ayar
0000-0002-7695-8915
Türkiye

Özgür Olukman
0000-0003-4006-0465
Türkiye

Yayımlanma Tarihi

8 Eylül 2025

Gönderilme Tarihi

18 Aralık 2024

Kabul Tarihi

2 Haziran 2025

Yayımlandığı Sayı

Yıl 2025 Cilt: 64 Sayı: 3

DOI

https://doi.org/10.19161/etd.1603366

IZ

https://izlik.org/JA52SK22RJ

Kaynak Göster

RIS / Bibtex

Vancouver

1.Mahli Batuhan Özdoğar, Dilem Eriş, Muzaffer Coşkun, Murat Ayar, Özgür Olukman. Pnömotorakslı yenidoğan olguların altta yatan akciğer patolojileri açısından değerlendirilmesi. ETD. 01 Eylül 2025;64(3):527-36. doi:10.19161/etd.1603366