已愈脓胸后发生的通气诱导性气胸。

Ventilation induced pneumothorax following resolved empyema.

作者信息

Nyman A G, Sonnappa S, Prendiville A T, Jaffe A

机构信息

Great Ormond Street, Hospital for Children, NHS Trust, Respiratory Unit, London, UK.

出版信息

Pediatr Pulmonol. 2008 Jan;43(1):99-101. doi: 10.1002/ppul.20684.

DOI:10.1002/ppul.20684

PMID:18041079

Abstract

We report a case of pneumothorax as a result of positive pressure ventilation in a child previously treated for empyema. Three months following discharge for successful treatment of empyema our patient received a general anesthetic for an elective MRI of the brain for investigation of nystagmus. During recovery from the anesthetic he developed respiratory distress and was found to have a loculated pneumothorax. We propose that pleural fragility in childhood empyema possibly persists even after clinical resolution and in this case for up to 3 months. The complication of pneumothorax should be considered in all patients receiving positive pressure ventilation following resolved empyema.

摘要

我们报告一例既往接受脓胸治疗的儿童因正压通气导致气胸的病例。在脓胸成功治疗出院三个月后，我们的患者接受全身麻醉以进行脑部选择性磁共振成像（MRI）检查眼球震颤。在麻醉恢复过程中，他出现呼吸窘迫，经检查发现有局限性气胸。我们认为，儿童脓胸时的胸膜脆弱性即使在临床症状消退后可能仍会持续，在本病例中持续了长达3个月。对于所有脓胸已愈后接受正压通气的患者，均应考虑气胸这一并发症。