Randel R C, Mannino F L
Department of Pediatrics, Children's Hospital and Health Center, San Diego, California.
J Perinatol. 1989 Mar;9(1):66-8.
Pulmonary cystic lesions presenting in the neonatal period can be congenital in origin, such as cystic adenomatoid malformation and congenital lobar emphysema, or they can be acquired. With recent advances in the support of premature infants with respiratory distress syndrome (RDS), acquired cystic lesions such as pulmonary interstitial emphysema (PIE), lobar emphysema, and parenchymal cysts have become more common. Several treatments have been proposed for these acquired lesions. We report what we believe to be the first case in which unilateral high-frequency ventilation (HFV) combined with low-rate intermittent mandatory ventilation (IMV) has been used to successfully manage an acquired lung cyst in a newborn.
新生儿期出现的肺囊性病变可能源于先天性，如囊性腺瘤样畸形和先天性大叶性肺气肿，也可能是后天获得性的。随着近年来对呼吸窘迫综合征（RDS）早产儿支持治疗的进展，诸如肺间质肺气肿（PIE）、大叶性肺气肿和实质囊肿等后天性囊性病变变得更为常见。针对这些后天性病变，已经提出了几种治疗方法。我们报告了我们认为的首例使用单侧高频通气（HFV）联合低频率间歇指令通气（IMV）成功治疗新生儿后天性肺囊肿的病例。
