Lehmann Christopher J, Daftary Ameet S, Machogu Evans M
Indiana University School of Medicine, Internal Medicine and Pediatrics Residency, Indianapolis, IN.
Indiana University School of Medicine, Riley Hospital for Children, Indianapolis, IN.
J Clin Sleep Med. 2016 Nov 15;12(11):1565-1566. doi: 10.5664/jcsm.6292.
We report a case of apical lung herniation through the superior thoracic aperture of an obese child using nocturnal CPAP. Lung herniation has been described in association with congenital thoracic abnormalities and elevated intra-thoracic pressure, such as trauma. This patient was hospitalized with community acquired pneumonia and required nocturnal CPAP for treatment of concurrent obstructive sleep apnea. Her lung hernia was discovered incidentally on routine follow-up chest radiography and resolved with cessation of CPAP treatment. Lung herniation in association with the use of continuous positive airway pressure (CPAP) has not been previously described.
我们报告了一例肥胖儿童通过胸廓上口发生肺尖部疝的病例,该患儿使用夜间持续气道正压通气(CPAP)治疗。肺疝曾被描述与先天性胸廓异常以及胸内压升高有关,比如外伤。该患者因社区获得性肺炎住院,且因并发阻塞性睡眠呼吸暂停需要夜间CPAP治疗。其肺疝在常规随访胸部X线检查时偶然发现,停用CPAP治疗后得以缓解。此前尚未有过与使用持续气道正压通气(CPAP)相关的肺疝的报道。