Elkerbout S C, van Lingen R A, Gerritsen J, Roorda R J
Department of Paediatrics, University Hospital, Groningen, The Netherlands.
Arch Dis Child. 1993 Jan;68(1 Spec No):37-40. doi: 10.1136/adc.68.1_spec_no.37.
Acquired stenosis of the trachea or bronchus in newborn infants is a possible complication of perinatal intubation and mechanical ventilation. Although the exact pathophysiology is unknown, stenosis formation seems to be initiated by pressure necrosis. Prematurity is thought to be an important risk factor for acquired airway stenosis. Management of stenotic lesions may be conservative, surgical, or endoscopic. Four patients were treated with endoscopic balloon dilatation with satisfactory results. Endoscopic balloon dilatation is the method of choice in most newborn infants with acquired bronchial or tracheal stenosis.
新生儿气管或支气管获得性狭窄是围产期插管和机械通气可能出现的并发症。虽然确切的病理生理学尚不清楚,但狭窄形成似乎是由压力性坏死引发的。早产被认为是获得性气道狭窄的一个重要危险因素。狭窄病变的处理可以是保守的、手术的或内镜的。4例患者接受了内镜球囊扩张治疗,效果满意。内镜球囊扩张是大多数患有获得性支气管或气管狭窄的新生儿的首选治疗方法。