Ortiz-Pujols Shiara, Boschini Laura A, Klatt-Cromwell Cristine, Short Kathy A, Hwang James, Cairns Bruce A, Jones Samuel W
Department of Surgery, University of North Carolina, Chapel Hill, North Carolina, USA.
J Burn Care Res. 2013 Mar-Apr;34(2):e112-5. doi: 10.1097/BCR.0b013e318257d83e.
Atelectasis is a significant risk factor for the development of pneumonia, especially in pediatric populations more prone to alveolar collapse or those who may have weakened muscular tone. The Metaneb system is a pneumatic, noninvasive physiotherapy technique that delivers chest high-frequency oscillations. Chest high-frequency oscillations have been shown to enhance mucociliary clearance of secretions and help resolve patchy atelectasis. This report describes the case of a 17-year-old female patient who developed significant left-sided atelectasis after extubation and was effectively managed with complete resolution of her atelectasis with the Metaneb system, obviating the need for reintubation.
肺不张是肺炎发生的一个重要危险因素，尤其在更易发生肺泡塌陷的儿科人群或那些可能肌肉张力减弱的人群中。Metaneb系统是一种提供胸部高频振荡的气动、非侵入性物理治疗技术。胸部高频振荡已被证明可增强分泌物的黏液纤毛清除功能，并有助于解决片状肺不张。本报告描述了一名17岁女性患者的病例，该患者拔管后出现严重的左侧肺不张，并通过Metaneb系统有效治疗，肺不张完全消退，无需再次插管。
