Zhang Taining, Wang Jianxiu, Zhou Bingyin, Yan Bin, Chen Xilong, Wang Yanxia, Wang Weikai
Department of Pediatric Intensive Care Unit, Gansu Provincial Maternity and Child Care Hospital, Lanzhou, Gansu, China.
Front Pediatr. 2024 Dec 23;12:1466852. doi: 10.3389/fped.2024.1466852. eCollection 2024.
Intractable pneumothorax secondary to bronchopulmonary fistula is a rare complication in neonates. We present the first report of a newborn with spontaneous pneumothorax and bronchopleural fistula treated with extracorporeal membrane oxygenation (ECMO). Positive pressure mechanical ventilation resulted in persistent air leakage from the bronchopleural fistula. When ECMO was initiated, a "total lung rest" ventilation strategy was used to facilitate the healing of bronchopleural fistula and the absorption of the pneumothorax. ECMO is an effective supportive therapy for neonate pneumothorax and bronchopulmonary fistula when conventional ventilation management fails.
继发于支气管肺瘘的难治性气胸是新生儿罕见的并发症。我们首次报告了一名患有自发性气胸和支气管胸膜瘘的新生儿接受体外膜肺氧合（ECMO）治疗的病例。正压机械通气导致支气管胸膜瘘持续漏气。启动ECMO时，采用“全肺休息”通气策略以促进支气管胸膜瘘的愈合和气胸的吸收。当传统通气管理失败时，ECMO是治疗新生儿气胸和支气管肺瘘的有效支持疗法。
