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[机械通气新生儿的间质性肺气肿。疾病进程研究]

[Interstitial pulmonary emphysema in mechanically ventilated newborn infants. Study of the course of the disease].

作者信息

Schneider K, Fendel H

出版信息

Rofo. 1986 Jun;144(6):648-55. doi: 10.1055/s-2008-1048856.

Abstract

106 (15.7%) of 675 artificially ventilated newborn developed interstitial pulmonary emphysema (PIE). Basic lung diseases were: IRDS, neonatal pneumonia, shock lung, meconium aspiration, hypoplasia of the lungs and other miscellaneous disorders of the chest. PIE developed in 68% of patients within 8 hours following artificial respiration. At the beginning of PIE both lungs were concerned in 41.5% of patients, one lobe of both lungs was affected in 32.1%. PIE was located in one lung in 8.5% and in only one lobe in 17.9%. Maximum of PIE was seen within 5 days after initiating respiration in 76.7% of the patients. Persistent PIE developed in 28.7% of the patients. Persistent PIE of both lungs was seen in 11 cases, PIE of one lung in 8 cases and persistent lobar emphysema in another 8. Pulmonary pseudocysts developed in 22 (20.8%) of the patients.

摘要

675例接受人工通气的新生儿中有106例(15.7%)发生了间质性肺气肿(PIE)。基础肺部疾病包括:新生儿呼吸窘迫综合征(IRDS)、新生儿肺炎、休克肺、胎粪吸入、肺发育不全及其他胸部杂症。68%的患者在人工呼吸后8小时内发生PIE。PIE开始时,41.5%的患者双肺受累,32.1%的患者双肺一个叶受累。8.5%的患者PIE位于一侧肺,17.9%的患者仅一个叶受累。76.7%的患者在开始呼吸后5天内出现PIE高峰。28.7%的患者发生持续性PIE。双肺持续性PIE见于11例,一侧肺PIE见于8例,另8例为持续性肺叶气肿。22例(20.8%)患者出现肺假囊肿。

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