Division of Neonatology, Department of Pediatrics, McMaster Children's Hospital, McMaster University, Hamilton, Ontario, Canada.
Respir Care. 2012 May;57(5):789-93. doi: 10.4187/respcare.01446. Epub 2011 Dec 6.
Pneumothorax is a common complication in infants receiving assisted ventilation. The appropriate management of this condition is not always clearly defined, especially when a large air leak and mediastinal shift are present but the infant is hemodynamically stable. Despite the complications associated with chest tube placement, this remains the most common approach in such cases. We report 4 cases of preterm infants who developed large pneumothoraces with mediastinal shift while on assisted ventilation and were managed conservatively, with substantial improvement within 12-96 hours. In this report we also review the literature on pneumothorax in preterm infants.
气胸是接受辅助通气的婴儿常见的并发症。这种情况的适当处理并不总是明确界定的，尤其是当存在大量空气泄漏和纵隔移位但婴儿血流动力学稳定时。尽管与放置胸腔引流管相关的并发症，但在这种情况下，这仍然是最常见的方法。我们报告了 4 例接受辅助通气的早产儿发生大量气胸伴纵隔移位的病例，这些患儿经保守治疗后在 12-96 小时内得到了明显改善。在本报告中，我们还回顾了早产儿气胸的文献。
