Levine D H, Trump D S, Waterkotte G
Pediatrics. 1981 Oct;68(4):510-4.
Pulmonary interstitial emphysema is a condition that has become a significant problem chiefly as a complication of mechanical ventilation of the newborn. In its severe forms, it may compromise ventilation and restrict pulmonary blood flow to the degree that it becomes a significant cause of mortality. When its occurrence is unilateral, or predominantly so, it becomes more amenable to therapy. A number of different approaches have been described, especially for milder forms of the disease, but none has proved entirely satisfactory. A surgical approach has been used in four patients with severe unilateral pulmonary interstitial emphysema complicating ventilator therapy for hyaline membrane disease. The technique was successful in three of the four infants. The technique was successful in three of the for infants. An illustrative case is described, as well as the selective criteria for application of the technique.
肺间质气肿是一种主要作为新生儿机械通气并发症而成为重大问题的病症。在其严重形式下，它可能会损害通气并限制肺血流，以至于成为一个重要的死亡原因。当其单侧发生或主要为单侧发生时，它更易于治疗。已经描述了许多不同的方法，特别是针对该疾病较轻形式的方法，但没有一种方法被证明是完全令人满意的。一种手术方法已应用于4例患有严重单侧肺间质气肿并并发透明膜病呼吸机治疗的患者。该技术在4名婴儿中的3名中取得成功。该技术在4名婴儿中的3名中取得成功。描述了一个说明性病例以及该技术应用的选择标准。
