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新生儿经鼻气管插管期间筛板穿孔：病例系列及文献综述

Lamina cribrosa perforation during nasotracheal intubation in neonates: case series and review of the literature.

作者信息

Lupi Fiorenzo, Staffler Alex, Parmeggiani Lucio, Klemme Mathias, Dalla Pozza Robert, Stuefer Josef, Thorsteinsdottir Jun, Peraud Aurelia, Flemmer Andreas W

机构信息

Division of Neonatology Central Teaching Hospital of Bolzano Bozen Italy.

Child Neurology and Neurorehabilitation Unit Department of Pediatrics Central Teaching Hospital of Bolzano Bozen Italy.

出版信息

Clin Case Rep. 2021 Aug 30;9(9):e04650. doi: 10.1002/ccr3.4650. eCollection 2021 Sep.

DOI:10.1002/ccr3.4650
PMID:34484751
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8405422/
Abstract

Intracranial penetration during attempted nasotracheal intubation is a potentially devastating complication, which should be carefully evaluated and the risk should be addressed in neonatal resuscitation trainings.

摘要

在尝试经鼻气管插管过程中的颅内穿透是一种潜在的毁灭性并发症，对此应进行仔细评估，并且在新生儿复苏培训中应提及该风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/180b/8405422/e26fe9da4297/CCR3-9-e04650-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/180b/8405422/e26fe9da4297/CCR3-9-e04650-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/180b/8405422/e26fe9da4297/CCR3-9-e04650-g002.jpg

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1
Lamina cribrosa perforation during nasotracheal intubation in neonates: case series and review of the literature.新生儿经鼻气管插管期间筛板穿孔：病例系列及文献综述
Clin Case Rep. 2021 Aug 30;9(9):e04650. doi: 10.1002/ccr3.4650. eCollection 2021 Sep.
2
Traumatic perforation of the lamina cribrosa during nasal intubation of a preterm infant.早产儿经鼻插管时筛板创伤性穿孔。
Pediatrics. 2014 Mar;133(3):e762-5. doi: 10.1542/peds.2012-3802. Epub 2014 Feb 17.
3
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J Emerg Med. 1997 Mar-Apr;15(2):187-91. doi: 10.1016/s0736-4679(96)00356-3.
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Use of a urinary catheter as a guidewire to facilitate safe nasotracheal intubation following iatrogenic retropharyngeal perforation.使用导尿管作为导丝，以促进医源性咽后穿孔后安全的经鼻气管插管。
Anaesth Rep. 2022 Dec 5;10(2):e12197. doi: 10.1002/anr3.12197. eCollection 2022 Jul-Dec.
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Does nasotracheal intubation increase complications in patients with skull base fractures?经鼻气管插管会增加颅底骨折患者的并发症吗？
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Iatrogenic meningoencephalocele after traumatic perforation of the cribriform plate during nasal intubation of a preterm infant.早产儿经鼻插管时筛板外伤性穿孔后发生医源性脑膜脑膨出。
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Case report: intracranial placement of a nasotracheal tube in a patient with Goldenhar syndrome associated with cribriform plate agenesis.病例报告：颅内置入鼻气管导管治疗伴有筛板发育不全的 Goldenhar 综合征患者。
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引用本文的文献

1
Nasotracheal Intubation in Extreme Prematurity and Traumatic Brain Injury: A Cautionary Tale.极早产儿与创伤性脑损伤中的鼻气管插管：一则警示故事
Case Rep Pediatr. 2025 Oct 3;2025:3005450. doi: 10.1155/crpe/3005450. eCollection 2025.

本文引用的文献

1
Intubation difficulty in neonatology: are you experienced?新生儿科的插管困难：你有经验吗？
Arch Dis Child Fetal Neonatal Ed. 2019 Sep;104(5):F458-F460. doi: 10.1136/archdischild-2018-316711. Epub 2019 Feb 22.
2
Neonatal Intubation Practice and Outcomes: An International Registry Study.新生儿插管实践与结果：一项国际注册研究。
Pediatrics. 2019 Jan;143(1). doi: 10.1542/peds.2018-0902. Epub 2018 Dec 11.
3
Traumatic perforation of the lamina cribrosa during nasal intubation of a preterm infant.早产儿经鼻插管时筛板创伤性穿孔。
Pediatrics. 2014 Mar;133(3):e762-5. doi: 10.1542/peds.2012-3802. Epub 2014 Feb 17.
4
Nasal CPAP or intubation at birth for very preterm infants.极早产儿出生时采用鼻持续气道正压通气（Nasal CPAP）或插管。
N Engl J Med. 2008 Feb 14;358(7):700-8. doi: 10.1056/NEJMoa072788.
5
Nasal versus oral intubation for mechanical ventilation of newborn infants.新生儿机械通气时经鼻插管与经口插管的比较。
Cochrane Database Syst Rev. 2000;1999(2):CD000948. doi: 10.1002/14651858.CD000948.
6
Inadvertent brain penetration during neonatal nasotracheal intubation.新生儿经鼻气管插管期间意外脑穿通
Arch Dis Child. 1993 Jul;69(1 Spec No):79-80. doi: 10.1136/adc.69.1_spec_no.79.