一名因钝性创伤后二尖瓣破裂导致单侧肺水肿的儿童。

A Child with Unilateral Pulmonary Edema due to Mitral Valve Rupture Following Blunt Trauma.

作者信息

Mukherjee Satarupa, Ravikumar Krupanandan, Kapalavai Sudeep K, Ramachandran Bala

机构信息

Department of Pediatric Intensive Care, Great Ormond Street Hospital, London, UK.

Department of Pediatric Intensive Care, Kanchi Kamakoti CHILDS Trust Hospital, Chennai, Tamil Nadu, India.

出版信息

Indian J Crit Care Med. 2021 Jun;25(6):729-731. doi: 10.5005/jp-journals-10071-23859.

DOI:10.5005/jp-journals-10071-23859

PMID:34316158

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8286410/

Abstract

A 7-year-old boy was admitted with a history of cough and tachypnea for 1 day. There was a history of a fall from a motorcycle with some abrasions over the left arm. The child was found to have tachypnea and tachycardia and was started on noninvasive ventilation. Auscultation revealed a pansystolic murmur over the precordium. Chest X-ray revealed unilateral pulmonary edema on the right side. Echocardiography showed severe mitral regurgitation (MR) with the tear of the anterior leaflet. The child improved with diuretics and supportive care. After 3 months, he underwent surgical repair of the mitral valve. Traumatic mitral valve tear is quite rare in children. Unilateral pulmonary edema is a feature of MR with eccentric jet and is frequently misinterpreted. Mukherjee S, Ravikumar K, Kapalavai SK, Ramachandran B. A Child with Unilateral Pulmonary Edema due to Mitral Valve Rupture Following Blunt Trauma. Indian J Crit Care Med 2021; 25(6):729-731.

摘要

一名7岁男孩因咳嗽和气促1天入院。有从摩托车上摔落的病史，左臂有一些擦伤。发现该患儿呼吸急促、心动过速，开始接受无创通气治疗。听诊发现心前区全收缩期杂音。胸部X线显示右侧单侧肺水肿。超声心动图显示严重二尖瓣反流（MR）伴前叶撕裂。患儿通过利尿剂和支持治疗后病情好转。3个月后，他接受了二尖瓣手术修复。创伤性二尖瓣撕裂在儿童中相当罕见。单侧肺水肿是偏心射流性二尖瓣反流的一个特征，常被误解。穆克吉S、拉维库马尔K、卡帕拉瓦伊SK、拉马钱德兰B。一名因钝性创伤后二尖瓣破裂导致单侧肺水肿的儿童。《印度重症监护医学杂志》2021年；25(6):729 - 731。