Fujii Alan M, Moulton Steven
Department of Pediatrics, Neonatology Division, Maternity 6, Boston University School of Medicine and Boston Medical Center, One Boston Medical Center Place, Boston, MA 02118, USA.
J Perinatol. 2003 Sep;23(6):516-8. doi: 10.1038/sj.jp.7210964.
Progression of pulmonary interstitial emphysema (PIE) to single or multiple pneumatoceles is uncommon, but may be seen in extremely premature infants with respiratory distress syndrome (RDS) on mechanical ventilation, after bacterial pneumonia and after suction catheter-induced airway trauma. While most premature infants with pneumatoceles are managed conservatively, mechanical decompression may be necessary.(1-3) Prior descriptions of neonatal intensive-care management of pneumatoceles in premature infants are individual case reports. We report the case of a 1-month-old extremely premature infant with RDS and respiratory failure from superimposed respiratory syncytial viral pneumonitis, PIE, and an enlarging pneumatocele, which was successfully managed with a percutaneously placed pigtail catheter.
肺间质肺气肿（PIE）进展为单个或多个肺气囊并不常见，但在机械通气的呼吸窘迫综合征（RDS）的极早产儿、细菌性肺炎后以及吸痰导管引起的气道创伤后可能会出现。虽然大多数患有肺气囊的早产儿采用保守治疗，但可能需要进行机械减压。（1-3）先前关于早产儿肺气囊的新生儿重症监护管理的描述均为个案报告。我们报告了一例1个月大的极早产儿，患有RDS，因叠加呼吸道合胞病毒性肺炎、PIE和不断增大的肺气囊而出现呼吸衰竭，通过经皮放置猪尾导管成功治疗。
