PNEUMOTHORAX IN NEWBORN AND COMPARISON OF DEMOGRAPHIC AND CLINICAL FEATURES ACCORDING TO DRAINAGE TREATMENT REQUIREMENT WITH CHEST TUBE

Objective: Pneumothorax, which is an important cause of morbidity and mortality especially in premature infants, is the most common neonatal period in childhood. Our aim is to evaluate newborns diagnosed as pneumothorax in our unit. Material and Methods: The records of newborn babies who were diagnosed as pneumothorax in the Neonatal Intensive Care Unit of Zekai Tahir Burak Women's Health Education and Research Hospital between January 1, 2015 and December 31, 2015 were analyzed retrospectively. Newborn infants who were diagnosed radiologically as pneumothorax were included in the study. Major congenital anomalies were excluded from the study. Results: The incidence of pneumothorax was 0.37% in all live births and 2.6% in the neonatal intensive care unit. The mean gestation age of the babies was 34.2 ± 3.6 weeks and birth weight was 2322 ± 841 gr. Of the 67 newborns with pneumothorax, 49 were male (73.1%), and 59 (88.1%) were born by cesarean section. TTN (38.8%) and RDS (31.3%) were the most common underlying pulmonary diseases in infants who developed pneumothorax. For the treatment of pneumothorax, 50 (74.7%) babies were treated with chest tube and 17 (25.3%) had no chest tube. Gestational age and birth weight were significantly lower in the drainage group (p <0.05). The duration of MV and NDA was significantly longer in the drainage group, but the free oxygen requirement was longer, but there was no significant difference. There was no difference between the two groups in terms of preterm morbidity and mortality. Conclusion: In neonatal period, pneumothorax is frequently encountered and usually within the first two days. The most common underlying lung disease in premature infants is RDS, while term infants is TTN. About ？ of newborns developing pneumothorax should be treated by inserting a chest tube. In case of pneumothorax development in infants with gestational age <32 weeks, a chest tube should be inserted in almost all of them. In infants who need drainage, the duration of invasive and noninvasive respiratory support and the time of hospitalization are significantly longer