Department of Pediatric Pulmonology, Shaare Zedek Medical Center, Hebrew University School of Medicine, Jerusalem, Israel.
Am J Perinatol. 2011 Feb;28(2):151-6. doi: 10.1055/s-0030-1263298. Epub 2010 Aug 11.
Air leak syndrome represents a common set of complications of ventilated premature neonates and includes pneumothorax, pneumomediastinum, pulmonary interstitial emphysema, and pneumatocele. Unilateral intubation is an infrequently utilized treatment option. We report our experience of three cases of air leak syndrome in neonates, each treated with unilateral intubation, including two cases of recalcitrant pneumothorax. A review of the literature of similar neonatal cases is presented. In view of our experience and the review of the literature, we suggest that unilateral intubation is an efficient and relatively safe therapy in cases of neonatal air leak syndrome. It is also suggested that appropriate treatment duration should be at least 48 hours.
气漏综合征是机械通气早产儿常见的一组并发症，包括气胸、纵隔气肿、肺间质气肿和气囊肿。单侧插管是一种不常使用的治疗选择。我们报告了三例新生儿气漏综合征的经验，每例均采用单侧插管治疗，包括两例顽固气胸。对类似新生儿病例的文献进行了回顾。鉴于我们的经验和文献回顾，我们建议在新生儿气漏综合征的情况下，单侧插管是一种有效且相对安全的治疗方法。同时还建议，适当的治疗时间至少应为 48 小时。
