小儿急性呼吸窘迫综合征合并纵隔气肿一例：是否采用振荡通气？

A case of pneumomediastinum in paediatric ARDS: to oscillate or not?

作者信息

McGinley J, Corcoran T, Canny G, O'Hare B

机构信息

Our Lady's Hospital for Sick Children, Crumlin, Dublin 12, Ireland.

出版信息

Paediatr Anaesth. 2001 May;11(3):366-9. doi: 10.1046/j.1460-9592.2001.00644.x.

DOI:10.1046/j.1460-9592.2001.00644.x

PMID:11359599

Abstract

An 18-month-old was transferred (intubated and ventilated) to our hospital with staphylococcal tracheitis, which progressed to a necrotizing pneumonitis, complicated by surgical emphysema and pneumomediastinum. Maximum conventional ventilation on a Servo 300 failed. Treatment with high frequency oscillatory ventilation (for 10 days) with a permissive hypercarbia and hypoxaemia strategy to limit mean airway pressure facilitated recovery in our patient.

摘要

一名18个月大的患儿（已插管并接受机械通气）因葡萄球菌性气管炎被转至我院，该病进展为坏死性肺炎，并伴有手术性气肿和纵隔气肿。使用Servo 300进行最大常规通气失败。采用允许性高碳酸血症和低氧血症策略的高频振荡通气（持续10天）以限制平均气道压力，促进了我们这位患者的康复。