Roychoudhury Smita, Kaur Sharandeep, Soraisham Amuchou Singh
Section of Neonatology, Department of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Case Rep Pediatr. 2017;2017:3149370. doi: 10.1155/2017/3149370. Epub 2017 Dec 21.
Neonatal pneumopericardium (PPC) is a rare form of neonatal air leak syndrome with high morbidity and mortality. Air leak syndrome in the newborn is usually associated with active resuscitation, respiratory distress syndrome, meconium aspiration syndrome, mechanical ventilation, or trauma associated with labour. Neonatal PPC can be associated with other air leak syndromes such as pneumomediastinum, pneumothorax, pneumoperitoneum, and subcutaneous and interstitial emphysema. Spontaneous PPC is a rare event in the neonatal period. We report a case of PPC in association with pneumothorax in a nonventilated term infant. The infant responded to thoracocentesis without the need for pericardiocentesis.
新生儿心包积气（PPC）是新生儿气漏综合征的一种罕见形式，发病率和死亡率很高。新生儿气漏综合征通常与积极复苏、呼吸窘迫综合征、胎粪吸入综合征、机械通气或分娩相关创伤有关。新生儿PPC可与其他气漏综合征相关，如纵隔气肿、气胸、气腹以及皮下和间质气肿。自发性PPC在新生儿期是罕见事件。我们报告一例非通气足月儿发生PPC合并气胸的病例。该婴儿对胸腔穿刺术有反应，无需心包穿刺术。
