患有慢性肺病的早产儿的气管支气管软化症
Tracheobronchomalacia in preterm infants with chronic lung disease.
作者信息
Doull I J, Mok Q, Tasker R C
机构信息
Paediatric Intensive Care Unit, Great Ormond Street Hospital for Children, London.
出版信息
Arch Dis Child Fetal Neonatal Ed. 1997 May;76(3):F203-5. doi: 10.1136/fn.76.3.f203.
Abstract
Tracheobronchomalacia is a treatable cause of persisting ventilatory requirements in the preterm neonate, and warrants a high index of suspicion. Five preterm infants with persisting ventilatory requirements with evidence of tracheobronchomalacia are reported. Four were diagnosed by tracheobronchogram and one by flexible endoscopy. All were successfully managed by continuous positive airway pressure (CPAP) via a tracheostomy. One infant died of unrelated causes. The oldest child in this series at the age of 2 years requires no further ventilatory support. Tracheobronchial anomalies should be considered in all preterm infants with persisting ventilatory requirements.
摘要
气管支气管软化是早产新生儿持续需要通气支持的一个可治疗病因，值得高度怀疑。本文报告了5例有持续通气需求且有气管支气管软化证据的早产婴儿。4例通过气管支气管造影确诊，1例通过可弯曲内镜检查确诊。所有患儿均通过气管造口术持续气道正压通气（CPAP）成功治疗。1例婴儿死于无关病因。该系列中年龄最大的患儿2岁，无需进一步通气支持。对于所有有持续通气需求的早产婴儿，均应考虑气管支气管异常。
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