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新生儿胎粪吸入综合征合并短暂性气道高反应及社会经济挑战:一例报告

Neonatal meconium aspiration syndrome with transient Hyperreactive airways and socioeconomic challenges: a case report.

作者信息

Diaz Q Carlos, Orellana Marcos, Argueta Andrea, Chajon Pedro

机构信息

Research Medical Department, Universidad Francisco Marroquin, Guatemala City 01011  Guatemala.

出版信息

Oxf Med Case Reports. 2025 Jun 27;2025(6):omaf067. doi: 10.1093/omcr/omaf067. eCollection 2025 Jun.

Abstract

This report presents a unique case of Meconium Aspiration Syndrome (MAS) in a neonate who developed transient hyperreactive airways syndrome (THAS), a rare complication marked by episodic bronchospasm and wheezing after MAS resolution. The patient, initially born in a private hospital in Guatemala and transferred to a community hospital due to financial constraints, improved with CPAP therapy but required bronchodilators for intermittent respiratory exacerbations. This case highlights the diverse manifestations of MAS and the need for careful monitoring of potential complications, particularly in resource-limited settings.

摘要

本报告介绍了一例新生儿胎粪吸入综合征(MAS)的独特病例,该患儿出现了短暂性高反应性气道综合征(THAS),这是一种罕见的并发症,其特征为MAS缓解后出现发作性支气管痉挛和喘息。该患者最初在危地马拉的一家私立医院出生,由于经济限制转至一家社区医院,经持续气道正压通气(CPAP)治疗后病情有所改善,但间歇性呼吸道病情加重时需要使用支气管扩张剂。该病例突出了MAS的多种表现形式以及对潜在并发症进行仔细监测的必要性,尤其是在资源有限的环境中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7d0/12202308/57b405a0fe9d/omaf067f1.jpg

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