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.
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.
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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