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本文引用的文献

1
Apnea Testing Using Continuous Positive Airway Pressure When Determining Death by Neurologic Criteria in Children: Retrospective Analysis of Potential Adverse Events.使用持续气道正压通气进行呼吸暂停测试以判断儿童的神经标准死亡：潜在不良事件的回顾性分析。
Pediatr Crit Care Med. 2020 Dec;21(12):e1152-e1156. doi: 10.1097/PCC.0000000000002457.
2
Apnea Testing for the Determination of Brain Death: A Systematic Scoping Review.脑死亡判定中呼吸暂停试验的系统评价：范围综述。
Neurocrit Care. 2021 Apr;34(2):608-620. doi: 10.1007/s12028-020-01015-0.
3
Brain death: Bilateral pneumothorax and pneumoperitoneum after an apnoea test.
Anaesth Crit Care Pain Med. 2019 Feb;38(1):89-90. doi: 10.1016/j.accpm.2018.04.004. Epub 2018 Apr 20.
4
Completing the apnea test: decline in complications.完成呼吸暂停试验：并发症减少。
Neurocrit Care. 2014 Dec;21(3):392-6. doi: 10.1007/s12028-014-9958-y.
5
Pronouncing brain death: Contemporary practice and safety of the apnea test.判定脑死亡：呼吸暂停试验的当代实践与安全性
Neurology. 2008 Oct 14;71(16):1240-4. doi: 10.1212/01.wnl.0000327612.69106.4c.
6
Tension pneumothorax complicating apnea testing during brain death evaluation.
J Clin Neurosci. 2008 May;15(5):580-2. doi: 10.1016/j.jocn.2007.02.009. Epub 2008 Mar 3.
7
Efficacy of a T-piece system and a continuous positive airway pressure system for apnea testing in the diagnosis of brain death.T型管系统和持续气道正压系统在脑死亡诊断的呼吸暂停试验中的疗效。
Crit Care Med. 2006 Aug;34(8):2213-6. doi: 10.1097/01.CCM.0000215114.46127.DA.
8
Problems associated with the apnea test in the diagnosis of brain death.与脑死亡诊断中呼吸暂停试验相关的问题。
Neurol India. 2004 Sep;52(3):342-5.
9
Tension pneumothorax during apnea testing for the determination of brain death.用于判定脑死亡的 apnea 试验期间发生张力性气胸。 （注：这里“apnea”一般译为“呼吸暂停”，具体准确含义需结合医学语境进一步确定）
Anesthesiology. 1998 Nov;89(5):1250-1. doi: 10.1097/00000542-199811000-00027.

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.

DOI:10.1212/CPJ.0000000000001052
PMID:34840913
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8610526/
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。