一名3个月大婴儿在脑死亡诊断的呼吸暂停试验期间发生双侧气胸。
Bilateral Pneumothoraces in a 3-Month-Old Infant During an Apnea Test in the Diagnosis of Brain Death.
作者信息
Daube Ariel, Gaffoor Mohamed, Georgievskaya Zhanna, Avner Jeffrey R
机构信息
Department of Pediatrics (AD), NYU Grossman School of Medicine; Department of Pediatrics (MG, JRA), Maimonides Children's Hospital, Brooklyn; and Office of Chief Medical Examiner (ZG), NY.
出版信息
Neurol Clin Pract. 2021 Oct;11(5):e794-e795. doi: 10.1212/CPJ.0000000000001052.
Abstract
We present the case of a 3-month-old boy who suffered bilateral pneumothoraces secondary to insufflation of oxygen into the endotracheal tube during the apnea test as part of brain death testing. Although rare, awareness of this potential complication of the apnea test is of particular importance in pediatric patients who have narrow endotracheal tubes because resistance to expiratory flow increases exponentially as lumen diameter decreases.
摘要
我们报告一例3个月大男婴的病例，该患儿在作为脑死亡测试一部分的呼吸暂停试验期间，因气管内导管充入氧气而继发双侧气胸。尽管这种情况罕见，但对于气管内导管较细的儿科患者而言，认识到呼吸暂停试验的这一潜在并发症尤为重要，因为随着管腔直径减小，呼气气流阻力呈指数级增加。
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