Schwartz A N, Graham C B
Radiology. 1986 Nov;161(2):351-4. doi: 10.1148/radiology.161.2.3763899.
Persistent foci of tension pulmonary interstitial emphysema (TPIE) may represent a clinically significant threat to the neonate with bronchopulmonary dysplasia. A 5-year experience with 21 cases of TPIE is reported. These patients were treated with lateral decubitus positioning (LDP). The emphysematous side was placed down approximately 70% of the time for an average of slightly over 3 days. Progress was followed by serial chest radiographs. The overall success rate of LDP was 90%. Respiratory status either improved or remained stable in all responding neonates, and no proved complications were observed. The authors recommend lateral decubitus positioning as the initial treatment of choice in managing neonatal tension pulmonary emphysema.
持续性张力性肺间质肺气肿（TPIE）病灶可能对患有支气管肺发育不良的新生儿构成临床上的重大威胁。本文报告了21例TPIE患者的5年治疗经验。这些患者接受了侧卧位（LDP）治疗。气肿侧大约70%的时间处于下方，平均持续略超过3天。通过系列胸部X光片观察病情进展。LDP的总体成功率为90%。所有有反应的新生儿呼吸状况均有所改善或保持稳定，且未观察到确诊的并发症。作者推荐侧卧位作为治疗新生儿张力性肺气肿的首选初始治疗方法。
