All issues > Volume 34(7); 1991

Original Article

J Korean Pediatr Soc. 1991;34(7):921-928. Published online July 31, 1991.

Relationship between underlying disease and time at onset of neonatal pulmonary air leak.

Young Yaek Jang¹, Kyong Nyong Kim¹, Jong Lim Choi¹, Ok Kyung Lee¹

¹Department of Pediatrics, Presbyterian Medical Center, Jeon Ju, Korea.

Received: November 27, 1990;  Accepted: March 23, 1991.

Abstract

We observed 38 cases of neonatal pulmonary air leak who were admitted to the nicu of Presbyter- ian Medical center from July, 1984 to October, 1990. The result was as follows: 1) The overall incidence of neonatal pulmonary air leak was 0.15% of all live birth. Spontaneous pulmonary air leak were 6cases (0.03%) and secondary pulmonary air leak were 21 cases (0.12%). 2) There were no differences in birth weight and gestational age. But neonatal pulmonary air leak was donimant in male, normal spontaneous vaginal delivery babies and in the right lung. 3) The underlying pulmonary disease were hyaline membrane disease (39.5%) and meconium aspiration syndrome (26.3%) in the majority. 4) In the comparison to the pulmonary air leak in hyaline membrane disease which usually developed after the first day of life, pulmonary air leak in meconium aspiration usually developed within 24 hours after birth. 5) In the treatment, 10 cases were treated with oxygen therapy, and 8 cases were treated with needle aspiration, and 20 cases were treated with chest tube insertion with under water seal drainage, but in 14 cases (36.8%) the patient died.

Keywords :Neonatal pulmonary air leak