Gortner L, Pohlandt F, Bartmann P
Universitäts-Kinderklinik Ulm.
Monatsschr Kinderheilkd. 1988 Aug;136(8):432-5.
Five very low birthweight infants manifested unilateral tension pulmonary interstitial emphysema (PIE). All infants required intermittent positive pressure ventilation for respiratory distress syndrome. PIE was managed by positioning the infant on his (or her) side with PIE and by shortening the inspiratory time, in four patients also by shortening exspiratory time resulting in a higher frequency ventilation. PIE resolved within 3-6 days after institution of this treatment. This was paralleled by a reduction of FiO2 as well as peak inspiratory pressures. All infants could successfully be extubated 2-6 weeks after birth.
五名极低出生体重儿出现单侧张力性肺间质肺气肿（PIE）。所有婴儿均因呼吸窘迫综合征需要间歇正压通气。通过将患PIE的婴儿置于患侧卧位以及缩短吸气时间来处理PIE，四名患者还通过缩短呼气时间以实现更高频率通气。在采取该治疗措施后3 - 6天内PIE消退。同时，吸入氧浓度（FiO2）以及吸气峰压均降低。所有婴儿在出生后2 - 6周均成功拔管。
