新生儿纵隔气肿合并孤立性二尖瓣梗阻。

Neonatal pneumomediastinum with isolated mitral obstruction.

作者信息

Case C L, Oslizlok P, Fyfe D, Gillette P C

机构信息

South Carolina Children's Heart Center, Medical University of South Carolina, Charleston 29425.

出版信息

Arch Dis Child. 1990 Jan;65(1 Spec No):56-8. doi: 10.1136/adc.65.1_spec_no.56.

DOI:10.1136/adc.65.1_spec_no.56

PMID:2306136

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1590165/

Abstract

While mediastinal air accumulation in the ventilated newborn is usually a benign entity, tension pneumomediastinum can embarrass both respiratory and cardiac function. A case of isolated left ventricular inflow obstruction caused by a pneumomediastinum in a premature infant is described that resolved with high frequency ventilation. The development of pneumomediastinum and haemodynamic compromise in a premature infant warrants echocardiographic examination.

摘要

虽然通气新生儿的纵隔积气通常是一种良性情况，但张力性纵隔气肿会影响呼吸和心脏功能。本文描述了一例因纵隔气肿导致孤立性左心室流入道梗阻的早产儿病例，该病例通过高频通气得以解决。早产儿纵隔气肿和血流动力学损害的发生需要进行超声心动图检查。