Refractory Pulmonary Interstitial Emphysema in Extreme Premature Newborn.

IF 0.8 Q4 PEDIATRICS
AJP Reports Pub Date : 2021-03-01 Epub Date: 2021-05-27 DOI:10.1055/s-0041-1727261
Mahmoud Ali, Lea Mallett, Greg Miller
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引用次数: 1

Abstract

Pulmonary interstitial emphysema (PIE) occurs when air leaks into the pulmonary interstitium due to overdistension of distal airways, it occurs mainly in neonates with respiratory distress syndrome who need positive pressure ventilation but has also been reported in spontaneously breathing infants. Herein, we report on an extremely low birth weight infant with severe persistent PIE, while on invasive mechanical ventilation (high-frequency oscillatory ventilation, high-frequency jet ventilation, and neurally adjust ventilator assist) managed successfully with 2 weeks of selective right lung ventilation after failure of more conservative measures, including shorter periods of right mainstem intubation, before the prolonged trial that was successful.

Abstract Image

极早产儿难治性肺间质性肺气肿。
肺间质性肺气肿(PIE)是由于远端气道过度扩张导致空气渗入肺间质而发生的,主要发生在需要正压通气的呼吸窘迫综合征新生儿中,但也有报道称发生在自主呼吸的婴儿中。在此,我们报告了一名出生体重极低的婴儿,患有严重的持续性PIE,而有创机械通气(高频振荡通气,高频喷射通气和神经调节呼吸机辅助)在更保守的措施失败后,成功地进行了2周的选择性右肺通气,包括缩短右主干插管时间,在延长试验成功之前。
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来源期刊
AJP Reports
AJP Reports PEDIATRICS-
CiteScore
2.20
自引率
0.00%
发文量
30
审稿时长
12 weeks
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