Persistence of ventilatory defect after resolution of pulmonary interstitial emphysema in a preterm baby

被引：7

作者：

Ferreira da Silva Filho, Luiz Vicente ^{[1
]}

Rossi, Felipe De Souza ^{[2
]}

Deutsch, Alice d'Agostini ^{[2
]}

Zanon Yagui, Ana Cristina ^{[3
]}

Timenetsky, Karina ^{[4
]}

Rebello, Celso de Moura ^{[2
,5
]}

机构：

[1] Hosp Israelita Albert Einstein, Clin Especialidades Pediat, Sao Paulo, Brazil

[2] Hosp Israelita Albert Einstein, Unidade Terapia Intens Neonatal, Sao Paulo, Brazil

[3] Hosp Israelita Albert Einstein, Dept Materno Infantil, Sao Paulo, Brazil

[4] Hosp Israelita Albert Einstein, Dept Pacientes Graves, Sao Paulo, Brazil

[5] Univ Sao Paulo, Fac Med, Dept Pediat, Sao Paulo, Brazil

来源：

JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE | 2010年 / 23卷 / 07期

关键词：

Pulmonary interstitial emphysema; neonate; electrical impedance tomography; INFANTS; INTUBATION;

D O I：

10.3109/14767050903314168

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Pulmonary interstitial emphysema is a common complication of mechanical ventilation in preterm babies. We report a case of severe unilateral pulmonary interstitial emphysema in a premature newborn, treated with high-frequency oscillatory ventilation, lateral decubitus positioning and selective intubation. After complete radiological resolution of the pulmonary emphysema in the left lung, the patient was studied by electrical impedance tomography and a marked reduction of ventilation was identified in the left lung despite radiological resolution of the cysts. This finding indicates that functional abnormalities may persist for longer periods after radiologic resolution of such lesions.

引用

页码：712 / 716

页数：5

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