Ibara S, Ikenoue T, Murata Y, Sakamoto H, Saito T, Nakamura Y, Asano H, Hirano T, Kuraya K, Maruyama H
Perinatal Medical Center, Kagoshima Municipal Hospital, Japan.
Acta Paediatr Jpn. 1995 Feb;37(1):64-7. doi: 10.1111/j.1442-200x.1995.tb03688.x.
Meconium aspiration syndrome creates mechanical airway obstruction with air trapping and atelectasis. Tracheobronchial saline lavage to dislodge meconium may precipitate respiratory distress, a wet lung appearance and respiratory failure. Two case studies are reported in which meconium aspiration resulted in mechanical obstruction and displacement of surfactant and in whom tracheobronchial saline lavage and artificial surfactant replacement reversed respiratory failure.
胎粪吸入综合征会导致机械性气道阻塞，并伴有气体潴留和肺不张。气管支气管盐水灌洗以清除胎粪可能会引发呼吸窘迫、湿肺表现和呼吸衰竭。本文报告了两例胎粪吸入导致机械性阻塞和表面活性剂移位的病例，在这两例中，气管支气管盐水灌洗和人工表面活性剂替代治疗逆转了呼吸衰竭。
