Balasubramanian Anusha, Abdullah Baharudin
Department of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences, University Sains Malaysia, Kota Bharu, Kelantan, Malaysia.
Acta Inform Med. 2012 Sep;20(3):192-3. doi: 10.5455/aim.2012.20.192-193.
Respiratory distress is one of the commonest cause of admission into a Neonatal Intensive Care Unit, be it surgical or medical in nature. Adequate and prompt resuscitation as well as intubation can be life saving. Emergency or early tracheostomy may be necessary if airway intervention is needed. The authors present the case of a term neonate who was born with a large cervical cystic hygroma causing compression of the airway, together with a concurrent grade III subglottic stenosis, in respiratory distress within few minutes of life. Nine months post tracheostomy and sclero-therapy treatment twice, the child shows marked improvement. The succesful management of this unusual case of severe extrinsic compression with concurrent internal airway obstruction is presented.
呼吸窘迫是新生儿重症监护病房收治的最常见原因之一，无论其病因是外科性还是内科性。充分及时的复苏以及气管插管可能挽救生命。如果需要进行气道干预，可能有必要进行紧急或早期气管切开术。作者介绍了一名足月儿的病例，该患儿出生时患有巨大的颈部囊状水瘤，导致气道受压，同时伴有Ⅲ度声门下狭窄，出生后几分钟内即出现呼吸窘迫。气管切开术及硬化治疗两次后九个月，患儿有明显改善。本文展示了对这一罕见的严重外部压迫合并内部气道阻塞病例的成功处理。
