Rezende Dária, Matos Inês V, Oliveira M João, Costa Conceição, Reis Luciana, Reis M Guilhermina, Ferreira Paula
Serviço de Cuidados Intensivos Neonatais e Pediátricos, Hospital de Santo António - Centro Hospitalar do Porto, 4099 -001 Porto.
Rev Port Pneumol. 2010 Jan-Feb;16(1):163-9. doi: 10.1016/s0873-2159(15)30014-3.
Spontaneous pneumomediastinum in a term baby without assisted ventilation or known underlying pulmonary disease is uncommon. The authors present a case report of a term baby delivered by caesarean that developed mild respiratory distress after birth. The pulmonary X -ray on day 2 showed an abnormal gas lucency adjacent to the left cardiac border elevating thymic border indicative of pneumomediastinum. Our case demonstrates two unique features of neonatal pneumomediastinum - the presence of multiple internal septae and its tendency to loculate locally. The authors present this case for its rarity and the specific imagiological aspects.
足月新生儿在未接受辅助通气或无已知潜在肺部疾病的情况下发生自发性纵隔气肿并不常见。作者报告了一例剖宫产出生的足月新生儿病例,该患儿出生后出现轻度呼吸窘迫。出生第2天的肺部X线检查显示左心缘旁气体透亮区异常,胸腺边界抬高,提示纵隔气肿。我们的病例展示了新生儿纵隔气肿的两个独特特征——存在多个内部间隔及其局部形成分隔的倾向。作者因该病例的罕见性及特定的影像学表现而呈现此病例。