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Pulmonary Air Leaks in the Newborn.

Journal of the Korean Pediatric Society 1987;30(7):727-734.
Published online July 31, 1987.
Pulmonary Air Leaks in the Newborn.
Myung Chul Cho, Beyong Il Kim, Son Moon Shin, Jung Hwan Choi, Chong Ku Yun
Department of Pediatrics, college of medicine, Seoul, National University,Korea.
신생아 폐외공기누줄
조명철, 김병일, 신손문, 최중환, 윤종구
서울대학교 의과대학 소아과학교실
A clinical study was performed on 17 cases of pulmonary air leaks in the newborn who were admitted to the NICU of SNUH from Jan. 1980 to Jun. 1986. The results were as follows: 1) Spontaneous air leaks were 2 cases (11.8%) and secondary air leaks were 15 cases (88.2%). 2) Of the 17 cases of pulmonary air leaks, 9 cases (53.0%) were premature infants, 10 cases (58.8%) were infants of low birth weight, 15 cases (88.2%) had moderate to severe birth asphyxia, 9 cases (53.0%) had hyaline membrane disease, and 6 cases (35.3%) had meconium aspiration syndrome. 3) The clinical manifestations were tachypnea (88.2%), cyanosis (82.4%), irritability (70.6%), bradycardia (64.7%), and hypotension (58.8%) in order of frequency, and 12 cases (70.6%) were developed within 3 days after birth. 4) The sites of pulmonary air leaks were pneumothorax in 15 cases (88.2%), pulmonary interstitial emphysema in 5 cases (29.4%), subcutaneous emphysema in 5 cases (23.5%), pneumomediastinum in 3 cases (17.6%), and pneumoperitoneum in 1 case (5.9%). Of the 15 cases of pneumothroax, right pneumothorax were 12 cases (80%), and tension pneumothorax were 11 cases (73%). 5) The resuscitation modes were intubation c Ambu-bagging in 2 cases (13.3%), intubation c CPAP in 2 cases (13.3%) and intubation c IPPB in 11 cases (73.3%). 6) Two cases of spontaneous air leaks were improved with oxygen therapy, but the mortality of secondary air leaks was 80% in spite of intensive care.
Key Words: Pulmonary air leak

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