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极低出生体重儿肺气囊的成功经皮引流

Successful percutaneous drainage of pneumatoceles in an extremely low-birthweight infant.

作者信息

Kumar Jogender, Mukhopadhyay Kanya, Bhatia Anmol

机构信息

Department of Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Department of Radiodiagnosis, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

BMJ Case Rep. 2018 Jan 26;2018:bcr-2017-222630. doi: 10.1136/bcr-2017-222630.

Abstract

Pneumatoceles are thin-walled, air-filled cystic lesions developing within the lung parenchyma. It used to be a relatively common entity in the presurfactant era when preterm babies were ventilated at an unacceptably high positive pressure for respiratory distress syndrome. Pneumatocele formation is a very rare complication of pneumonia in neonates. We here report a case of extremely low-birthweight (ELBW) neonate who developed large bilateral pneumatoceles after staphylococcal pneumonia. Hereby, we present a case of an ELBW infant with bilateral massive pneumatoceles who underwent successful percutaneous catheter drainage to decompress these pneumatoceles.

摘要

肺气囊是在肺实质内形成的薄壁、含气的囊性病变。在表面活性剂出现之前的时代,当早产儿因呼吸窘迫综合征而接受过高的正压通气时,它曾是一种相对常见的病症。肺气囊形成是新生儿肺炎非常罕见的并发症。我们在此报告一例极低出生体重(ELBW)新生儿,其在患葡萄球菌肺炎后出现双侧巨大肺气囊。在此,我们呈现一例患有双侧巨大肺气囊的ELBW婴儿,该婴儿成功接受了经皮导管引流以缓解这些肺气囊。

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本文引用的文献

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Disseminated, large-sized neonatal pneumatoceles: the wait-and-see strategy.
Pediatr Pulmonol. 2014 Mar;49(3):E69-71. doi: 10.1002/ppul.22831. Epub 2013 Jun 21.
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Infected pneumatocele following anaerobic pneumonia in adult.成人厌氧性肺炎后感染性肺大疱
Korean J Intern Med. 2005 Dec;20(4):343-5. doi: 10.3904/kjim.2005.20.4.343.
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Neonatal pneumatocele as a complication of nasal continuous positive airway pressure.
Arch Dis Child Fetal Neonatal Ed. 2002 May;86(3):F202-3. doi: 10.1136/fn.86.3.f202.

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