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新生儿脑空气栓塞

Neonatal Cerebral Air Embolism.

作者信息

Ahmed Javed, Balasubramanian Hari, Ansari Vaseem, Kabra N S

机构信息

Department of Neonatalogy, Surya Children Medicare, Mumbai, India. Correspondence to: Dr Javed Ahmed, Department of Pediatrics, Surya Children Medicare Pvt Ltd, Mumbai, India.

Department of Neonatalogy, Surya Children Medicare, Mumbai, India.

出版信息

Indian Pediatr. 2018 Dec 15;55(12):1089-1090.

PMID:30745484
Abstract

BACKGROUND

Vascular air embolism (VAE) is rare but potentially lethal condition, and survival is rarely reported in newborn.

CHARACTERISTICS

A preterm (27+1 weeks) neonate on Continuous positive airway pressure developed sudden cardiac asystole on day 3 of life and required 30 minutes of cardiopulmonary resuscitation.

OBSERVATION

Infant had air embolism in liver and brain. He survived but developed cystic encephalomalcia requiring extensive neuro-rehabilitation.

MESSAGE

Air embolism should be considered as differential diagnosis of sudden unexplained cardiac deterioration in well neonate.

摘要

背景

血管空气栓塞(VAE)虽罕见但可能致命,新生儿中罕见有存活报道。

特征

一名接受持续气道正压通气的早产儿(27 + 1周)在出生第3天突然发生心搏骤停,需要30分钟的心肺复苏。

观察结果

婴儿肝脏和脑部有空气栓塞。他存活下来,但出现了囊性脑软化,需要广泛的神经康复治疗。

启示

空气栓塞应被视为健康新生儿不明原因心脏突然恶化的鉴别诊断。

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1
Neonatal Cerebral Air Embolism.新生儿脑空气栓塞
Indian Pediatr. 2018 Dec 15;55(12):1089-1090.
2
Air embolism in the newborn.新生儿空气栓塞
J Singapore Paediatr Soc. 1992;34(1-2):44-5.
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Systemic air embolism after cardiopulmonary resuscitation in a preterm infant.一名早产儿心肺复苏后发生系统性空气栓塞
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Pulsed Doppler diagnosis of cerebral air embolus in a baby with pulmonary interstitial emphysema.
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Neonatal radiology casebook. Massive systemic air embolism in a low birth weight infant.新生儿放射学病例集。一名低体重儿发生大量全身性空气栓塞。
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Portal venous air: the poor prognosis persists.门静脉积气:预后不良的情况依然存在。
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Vascular air embolism: a rare complication of nasal CPAP.血管空气栓塞:鼻持续气道正压通气的一种罕见并发症。
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Systemic air embolism in the respiratory distress syndrome of the newborn.新生儿呼吸窘迫综合征中的系统性空气栓塞
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Prevalence of systemic air-embolism after prolonged cardiopulmonary resuscitation in newborns: A pilot study.新生儿长时间心肺复苏后系统性空气栓塞的患病率:一项初步研究。
Resuscitation. 2015 Aug;93:96-101. doi: 10.1016/j.resuscitation.2015.06.007. Epub 2015 Jun 16.
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Air embolism with survival in a neonate.新生儿空气栓塞并存活
Pediatr Radiol. 1990;20(6):480-2. doi: 10.1007/BF02075216.

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