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[选择性支气管封堵术治疗早产儿呼吸窘迫中的单侧间质性肺气肿]

[Selective bronchial occlusion in the treatment of unilateral interstitial emphysema in respiratory distress in premature infants].

作者信息

Feldmann M, Parisot S, Masselot M, Klink Z, Marchal C

机构信息

Unité de réanimation néonatale, hôpital Bel-air, CHR de Metz-Thionville, France.

出版信息

Pediatrie. 1993;48(6):447-9.

PMID:8247643
Abstract

A case of right unilateral pulmonary interstitial emphysema in a compromised premature infant was managed by right selective bronchial occlusion with a favorable outcome. Occlusion with a Rashkind catheter occurred on day 8 and was well-tolerated. The balloon was deflated 10 hours later and no recurrence was observed. Right occlusion is easier than left selective intubation and seems to be the best method for treatment of unilateral interstitial emphysema in infants in extremely poor conditions.

摘要

一名病情危重的早产婴儿发生右侧单侧肺间质肺气肿,通过右侧选择性支气管封堵进行治疗,效果良好。在出生第8天使用拉什金德导管进行封堵,患儿耐受性良好。10小时后气囊放气,未观察到复发情况。右侧封堵比左侧选择性插管更容易,似乎是治疗病情极差婴儿单侧间质肺气肿的最佳方法。

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