Cheong Ching Y, Ong Gene Y, Chor Yek K
Paediatrics, Hospital Tunku Azizah, Kuala Lumpur, MYS.
Paediatrics, Sarawak General Hospital, Kuching, MYS.
Cureus. 2022 Mar 8;14(3):e22970. doi: 10.7759/cureus.22970. eCollection 2022 Mar.
Systemic air embolism is a rarely reported complication of necrotizing enterocolitis in the neonatal population. It carries significant morbidity and mortality. We report a 6-day-old, term female neonate with a duct-dependent (systemic) congenital heart disease (interrupted aorta with patent ductus arteriosus and ventricular septal defect) who presented in extremis. The neonate was successfully resuscitated, mechanically ventilated, and put on intravenous prostaglandins in paediatric intensive care unit. She clinically improved but later she developed necrotizing enterocolitis which was complicated by systemic air embolism; both of which were identified by bedside ultrasound. Her condition deteriorated and she succumbed due to these complications.
系统性空气栓塞是新生儿坏死性小肠结肠炎中一种罕见报道的并发症。它具有显著的发病率和死亡率。我们报告一例6日龄足月儿女性新生儿，患有依赖导管（体循环）的先天性心脏病（主动脉中断伴动脉导管未闭和室间隔缺损），病情危急。该新生儿在儿科重症监护病房成功复苏、接受机械通气并静脉输注前列腺素。她的临床症状有所改善，但后来发展为坏死性小肠结肠炎，并并发系统性空气栓塞；这两种情况均通过床边超声得以确诊。她的病情恶化，最终因这些并发症死亡。
