新生儿先天性大叶性肺气肿：麻醉挑战

Congenital lobar emphysema in neonates: Anaesthetic challenges.

作者信息

Nath Mridu Paban, Gupta Sachin, Kumar Ashish, Chakrabarty Anulekha

机构信息

Department of Anaesthesiology and Critical Care, Gauhati Medical College Hospital, Guwahati, Assam, India.

出版信息

Indian J Anaesth. 2011 May;55(3):280-3. doi: 10.4103/0019-5049.82688.

DOI:10.4103/0019-5049.82688

PMID:21808403

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3141155/

Abstract

Congenital lobar emphysema (CLE) is a potentially reversible, though possibly life-threatening, cause of respiratory distress in the neonate. It poses dilemma in diagnosis and management. We are presenting a 6-week-old baby who presented with a sudden onset of respiratory distress related to CLE affecting the left upper lobe. Lobectomy was performed under general anaesthesia with one lung ventilation. The details of anaesthetic challenges and management are described here.

摘要

先天性大叶性肺气肿（CLE）是新生儿呼吸窘迫的一个潜在可逆但可能危及生命的原因。它在诊断和治疗方面存在难题。我们报告一例6周大的婴儿，因CLE累及左上叶而突然出现呼吸窘迫。在全身麻醉单肺通气下行肺叶切除术。本文描述了麻醉过程中的挑战及处理细节。