Management of tension pneumatocele with high-frequency oscillatory ventilation

被引:18
|
作者
Shen, HN
Lu, FL
Wu, HD
Yu, CJ
Yang, PC
机构
[1] Natl Taiwan Univ Hosp, Dept Internal Med, Taipei 100, Taiwan
[2] Natl Taiwan Univ Hosp, Dept Pediat, Taipei 100, Taiwan
关键词
bronchopleural fistula; high-frequency oscillatory ventilation; pneumatocele; Streptococcus pneumoniae;
D O I
10.1378/chest.121.1.284
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
We report the successful application of high-frequency oscillatory ventilation in a patient with tension pneumatocele (TP). The proposed check-valve mechanism for the development of pneumatoceles predicts that positive-pressure ventilation could lead to distension of these airspaces and formation of TPs. Therefore, high-frequency ventilation could be more applicable in conditions, such as massive air leak due to bronchopleural fistula, that are difficult to manage by conventional ventilator modes.
引用
收藏
页码:284 / 286
页数:3
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