极低出生体重儿的肺漏气
Pulmonary air leak in extremely low birthweight infants.
作者信息
Yu V Y, Wong P Y, Bajuk B, Szymonowicz W
出版信息
Arch Dis Child. 1986 Mar;61(3):239-41. doi: 10.1136/adc.61.3.239.
Abstract
The incidence of pulmonary air leak in 230 infants with a birth weight of 500-999 g who were ventilated was 41%. Pulmonary interstitial emphysema occurred in 35%, pneumothorax in 20%, pneumomediastinum in 3%, and pneumopericardium in 2%. The survival rates in those with or without pulmonary air leak were not significantly different in the first four years of the study period (46% v 53%). As the survival improved in infants without air leak during the second four years the difference in survival rates in infants with or without air leak became significant (30% v 71%). Effective measures of preventing pulmonary air leak are required before further improvement in the outcome of these extremely low birthweight infants can be achieved.
摘要
230例出生体重500 - 999克且接受通气治疗的婴儿中，肺漏气的发生率为41%。肺间质气肿发生率为35%，气胸发生率为20%，纵隔气肿发生率为3%，心包积气发生率为2%。在研究的前四年中，有或无肺漏气婴儿的存活率无显著差异（46%对53%）。随着后四年中无漏气婴儿存活率的提高，有或无漏气婴儿的存活率差异变得显著（30%对71%）。在这些极低出生体重婴儿的预后得到进一步改善之前，需要采取有效的预防肺漏气措施。
相似文献
1
Pulmonary air leak in extremely low birthweight infants.极低出生体重儿的肺漏气
Arch Dis Child. 1986 Mar;61(3):239-41. doi: 10.1136/adc.61.3.239.
2
Pulmonary interstitial emphysema in infants less than 1000 g at birth.出生体重小于1000克婴儿的肺间质肺气肿
Aust Paediatr J. 1986 Aug;22(3):189-92. doi: 10.1111/j.1440-1754.1986.tb00221.x.
3
Pneumothorax and other forms of pulmonary air leak in newborns.新生儿气胸及其他形式的肺漏气
Am Rev Respir Dis. 1979 Oct;120(4):729-37. doi: 10.1164/arrd.1979.120.4.729.
4
Neonatal air leak syndrome and the role of high-frequency ventilation in its prevention.新生儿气漏综合征与高频通气在其预防中的作用。
J Chin Med Assoc. 2012 Nov;75(11):551-9. doi: 10.1016/j.jcma.2012.08.001. Epub 2012 Oct 9.
5
Prognostic implications of age at detection of air leak in very low birth weight infants requiring ventilatory support.
J Pediatr. 1993 Oct;123(4):611-7. doi: 10.1016/s0022-3476(05)80964-3.
6
[Extra-alveolar air in ventilated newborn infants (author's transl)].通气新生儿的肺泡外气体（作者译）
Klin Padiatr. 1978 Jul;190(4):421-5.
7
Air leak in neonatal respiratory distress syndrome.新生儿呼吸窘迫综合征中的气胸
Anaesth Intensive Care. 1984 Feb;12(1):41-5. doi: 10.1177/0310057X8401200108.
8
Pulmonary interstitial emphysema in low birth weight infants: characteristics of survivors.低出生体重儿的肺间质肺气肿：存活者的特征
Acta Paediatr Hung. 1990;30(3-4):383-9.
9
Air embolism in ventilated very low birthweight infants.机械通气的极低出生体重儿的空气栓塞
Arch Dis Child. 1988 May;63(5):541-3. doi: 10.1136/adc.63.5.541.
引用本文的文献
1
Optimizing Endotracheal Tube Insertion Depth in Neonates: In Search of the Most Reliable Method.优化新生儿气管插管深度：寻找最可靠的方法。
Indian Pediatr. 2025 Aug 12. doi: 10.1007/s13312-025-00153-y.
2
Estimation of Depth of Endotracheal Tube Insertion Using Gestational Age, Body Weight or Nasal-Tragus Length in Newborns: An Open-Label Randomized Controlled Trial.利用胎龄、体重或鼻-耳屏长度估计新生儿气管插管深度：一项开放标签随机对照试验
Indian Pediatr. 2025 Jul 30. doi: 10.1007/s13312-025-00136-z.
3
Pneumatoceles or Not? Case Reports on Pulmonary Cystic Lesions in Infants.是肺气囊吗？婴儿肺部囊性病变的病例报告
Pediatr Dev Pathol. 2025 Sep-Oct;28(5):400-405. doi: 10.1177/10935266251338562. Epub 2025 May 12.
4
'Lip-to-Tip' study: comparison of three methods to determine optimal insertion length of endotracheal tube in neonates.“唇到端”研究：比较三种方法确定新生儿气管导管最佳插入长度。
Eur J Pediatr. 2021 May;180(5):1459-1466. doi: 10.1007/s00431-020-03919-7. Epub 2021 Jan 3.
5
Pressure-decay testing of pleural air leaks in intact murine lungs: evidence for peripheral airway regulation.完整小鼠肺脏胸膜漏气的压力衰减测试：外周气道调节的证据
Physiol Rep. 2018 May;6(10):e13712. doi: 10.14814/phy2.13712.
6
Pneumothorax in neonates: Complication during endotracheal intubation, diagnosis, and management.新生儿气胸：气管插管期间的并发症、诊断与处理
J Anaesthesiol Clin Pharmacol. 2016 Jul-Sep;32(3):397-9. doi: 10.4103/0970-9185.188820.
7
Neonatal pneumomediastinum with isolated mitral obstruction.新生儿纵隔气肿合并孤立性二尖瓣梗阻。
Arch Dis Child. 1990 Jan;65(1 Spec No):56-8. doi: 10.1136/adc.65.1_spec_no.56.
本文引用的文献
1
Pulmonary interstitial emphysema.肺间质性肺气肿
Arch Dis Child. 1984 Nov;59(11):1046-51. doi: 10.1136/adc.59.11.1046.
2
Bronchopulmonary dysplasia in very low birthweight infants.极低出生体重儿支气管肺发育不良
Aust Paediatr J. 1983 Dec;19(4):233-6. doi: 10.1111/j.1440-1754.1983.tb02109.x.
3
Pulmonary interstitial emphysema in very low birthweight infants.极低出生体重儿的肺间质肺气肿
Arch Dis Child. 1983 Aug;58(8):612-5. doi: 10.1136/adc.58.8.612.
4
Pancuronium prevents pneumothoraces in ventilated premature babies who actively expire against positive pressure inflation.泮库溴铵可预防在正压通气时主动呼气的机械通气早产儿发生气胸。
Lancet. 1984 Jan 7;1(8367):1-3. doi: 10.1016/s0140-6736(84)90177-6.
5
Pancuronium during mechanical ventilation speeds recovery of lungs of infants with hyaline membrane disease.机械通气期间使用潘库溴铵可加速患有透明膜病的婴儿肺部的恢复。
Lancet. 1981 Feb 14;1(8216):346-8. doi: 10.1016/s0140-6736(81)91670-6.
6
Morbidity and survival in neonates ventilated for the respiratory distress syndrome.因呼吸窘迫综合征接受通气治疗的新生儿的发病率和存活率。
Br Med J (Clin Res Ed). 1985 Feb 23;290(6468):597-600. doi: 10.1136/bmj.290.6468.597.
7
Shortened platelet survival in cyanotic heart disease.青紫型心脏病患者血小板生存期缩短。
J Pediatr. 1975 Jul;87(1):77-9. doi: 10.1016/s0022-3476(75)80073-4.
8
Pneumothorax in the newborn. Changing pattern.新生儿气胸。模式的变化。
Arch Dis Child. 1975 Jun;50(6):449-53. doi: 10.1136/adc.50.6.449.
9
Respiratory failure in infants weighing 1000 g or less at birth.出生时体重1000克或以下婴儿的呼吸衰竭。
Aust Paediatr J. 1979 Sep;15(3):152-9. doi: 10.1111/j.1440-1754.1979.tb01214.x.
10
Pneumothorax and other forms of pulmonary air leak in newborns.新生儿气胸及其他形式的肺漏气
Am Rev Respir Dis. 1979 Oct;120(4):729-37. doi: 10.1164/arrd.1979.120.4.729.
Zotero 插件