Title Ishodi liječenja novorođenačkog pneumotoraksa Title (english) Treatment outcomes of neonatal pneumothorax Author Leon Romčević Mentor Stjepan Višnjić (mentor)Committee member Tomislav Luetić (predsjednik povjerenstva)Committee member Tomislav Meštrović (član povjerenstva)Committee member Stjepan Višnjić (član povjerenstva)Granter University of Zagreb Defense date and country 2021-07-16, Croatia Scientific / art field, BIOMEDICINE AND HEALTHCARE Scientific / art field, BIOMEDICINE AND HEALTHCARE Abstract Novorođenačka dob je razdoblje života koje karakteriziraju specifičnosti anatomske građe i fiziologije organizma. Iz tog razloga, uz dodatni faktor poroda i uz njega vezanih velikih fizioloških promjena u organizmu djeteta, ova skupina je praćena najvišom incidencijom pneumotoraksa među svim dobnim skupinama uopće. Pneumotoraks je stanje patološkog nakupljanja zraka između dva lista poplućnice, visceralnog i parijetalnog. To intrapleuralno nagomilavanje zraka uzrokuje djelomično ili potpuno kolabiranje pluća i posljedično dovodi do respiratorne insuficijencije. Pneumotoraks se uobičajeno etiološki dijeli u nekoliko skupina. Spontani pneumotoraks može biti primarni ili sekundarni, ovisno o tome nalazi li se u podlozi otprije postojeća plućna patologija. Traumatski pneumotoraks uzrokovan je tupom ili penetrantnom ozljedom prsnog koša i plućnog tkiva, a jatrogeni različitim medicinskim intervencijama. Najčešći znakovi i simptomi pneumotoraksa su tahipneja, dispneja, apneja i cijanoza. Dijagnostika se temelji na kliničkoj slici, čija težina korelira s veličinom volumena nakupljenog zraka, nadopunjuje se transiluminacijom, a definitivno potvrđuje radiološkim metodama kao što su rendgen i ultrazvuk. Liječenje je individualizirano, ovisno o težini kliničke slike. U pojedinim slučajevima dovoljna je opservacija, dok drugi zahtijevaju torakocentezu i torakalnu drenažu, a u terapiji se koristi i 100%-tni kisik. U ovome istraživanju, provedenom u obliku kratke presječne retrospektivne analize, obrađeni su podaci 40 pacijenata liječenih na Klinici za dječju kirurgiju, Klinike za dječje bolesti Zagreb. Podaci su prikupljeni pretraživanjem bolničkog informacijskog sustava i arhive povijesti bolesti u razdoblju od siječnja 2010. do listopada 2019. godine. Njihovom statističkom obradom nije potvrđen utjecaj veličine, a time ni zrelosti djeteta na ishod liječenja pneumotoraksa.
Abstract (english) The neonatal period is a phase of life characterized by the specifics of the anatomical structure and physiology of the organism. For this reason, with the additional factor of childbirth and related major physiological changes in the child's body, this group is accompanied by the highest incidence of pneumothorax among all the age groups. Pneumothorax is a condition of pathological accumulation of air between visceral and parietal pleura which causes partial or complete collapse of the lungs and consequently leads to respiratory failure. Pneumothorax is usually etiologically divided into several groups. Spontaneous pneumothorax can be primary or secondary, depending on whether there is pre-existing pulmonary pathology. Traumatic pneumothorax is caused by blunt or penetrating injury to the chest and lung tissue, and iatrogenic by various medical interventions. The most common signs and symptoms of pneumothorax are tachypnea, dyspnea, apnea, and cyanosis. Diagnosis is based on the clinical picture, the severity of which correlates with the size of the accumulated air volume, which is supplemented by transillumination, and is definitely confirmed by radiological methods such as X-ray and ultrasound. Treatment is individualized, depending on the severity of the clinical picture. In some cases, observation is sufficient, while others require thoracentesis and thoracic drainage, and 100% oxygen is used in therapy. In this study, conducted in the form of a short cross-sectional retrospective analysis, the data of 40 patients treated at the Department of Pediatric Surgery of the Children's Hospital Zagreb were processed. The data were collected by searching the hospital information system and the medical history archive from the period between January 2010 and October 2019. The influence of the size and thus the maturity of the child on the outcome of the pneumothorax treatment was not confirmed by statistical analysis.
Keywords
novorođenče
nedonošče
pneumotoraks
opservacija
torakalna drenaža
porođajna veličina
Keywords (english)
newborn
prematurity
pneumothorax
observation
thoracic drainage
birth size
Language croatian URN:NBN urn:nbn:hr:105:543730 Study programme Title: Medicine Type of resource Text File origin Born digital Access conditions Open access Terms of use Created on 2022-05-04 12:35:37
