经皮导管置入术对早产儿多个肺气囊进行减压

Decompression of multiple pneumatoceles in a premature infant by percutaneous catheter placement.

作者信息

Arias-Camison J M, Kurtis P S, Feld R S, Morrison P, Bourque M D, DeSilva H N

机构信息

Division of Newborn Medicine, Department of Pediatrics, Saint Francis Hospital and Medical Center, 114 Woodland Street, MS #40903, Hartford, CT 06105, USA.

出版信息

J Perinatol. 2001 Dec;21(8):553-5. doi: 10.1038/sj.jp.7210544.

DOI:10.1038/sj.jp.7210544

PMID:11774019

Abstract

Pneumatoceles due to acquired localized overinflation as a form of pulmonary interstitial emphysema are complications of advanced bronchopulmonary dysplasia. Different ventilation modes, selective bronchial intubation, balloon obstruction of the affected bronchus and steroids have been reported with success. Lobectomy has also been used. We present a premature infant with multiple large pneumatoceles causing respiratory compromise. In our case percutaneous decompression under fluoroscopy guidance resulted in a permanent cure.

摘要

作为肺间质肺气肿一种形式的后天性局部过度充气所致的肺气囊是晚期支气管肺发育不良的并发症。据报道，不同的通气模式、选择性支气管插管、患侧支气管球囊阻塞及类固醇治疗均取得了成功。肺叶切除术也已被应用。我们报告一例患有多个导致呼吸功能不全的大肺气囊的早产儿。在我们的病例中，透视引导下经皮减压取得了永久性治愈效果。