Kosloske A M, Williamson S L
Department of Surgery, University of New Mexico School of Medicine, Albuquerque 87131-5336.
J Pediatr Surg. 1992 Dec;27(12):1521-2. doi: 10.1016/0022-3468(92)90491-o.
One possible complication in infant pneumonectomy is mediastinal shift that can fatally kink or compress airways and vessels. Rigid prostheses have been used to prevent these problems; however, they cannot be adjusted as the child grows. We report a case of expandable prosthesis implantation in a 24-day-old infant. During the 18 months postimplantation, the prosthesis was periodically injected with a saline/contrast solution to maintain the mediastinum in a midline position as the child grew. At 24-month follow-up the prosthesis was still in place, and midline position of the mediastinum maintained.
婴儿肺切除术中一种可能的并发症是纵隔移位，这可能会致命地扭结或压迫气道和血管。刚性假体已被用于预防这些问题；然而，随着孩子的成长，它们无法进行调整。我们报告了一例在一名24天大的婴儿中植入可扩张假体的病例。在植入后的18个月里，随着孩子的成长，定期向假体中注入生理盐水/造影剂溶液，以保持纵隔处于中线位置。在24个月的随访中，假体仍在位，纵隔保持在中线位置。
