Traumatic retropharyngeal emphysema as a cause for severe respiratory distress in a newborn
Traumatic retropharyngeal emphysema as a cause for severe respiratory distress in a newborn
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外伤性咽后气肿是新生儿严重呼吸窘迫的原因
DOI：
10.1007/s00247-003-0886-9
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发表时间：
2003
影响因子：
2.3
通讯作者：
R. Saintonge
中科院分区：
文献类型：
--
作者：
D. Barlev;B. Nagourney;R. Saintonge
新生儿因插管或吸管而造成的咽部或食管外伤可能有多种表现。通过胃管困难或喂养问题可能会错误地提示食管闭锁的诊断。如果气胸或胸腔积液进入胸膜腔，可能会导致相关的呼吸窘迫。我们报告了一例足月新生儿因先前插管和抽吸导致下咽穿孔导致咽后大量积气而出现严重呼吸窘迫的病例。没有证明足以解释呼吸窘迫程度的胸部异常。
Traumatic injury to the pharynx or esophagus in a newborn from intubation or tube suctioning may have various presentations. Difficulty passing a gastric tube or feeding problems may erroneously suggest the diagnosis of esophageal atresia. Associated respiratory distress may be caused by pneumothorax or pleural effusion if the pleural space is entered. We report the case of a full-term newborn presenting with severe respiratory distress caused by a large retropharyngeal air collection resulting from hypopharyngeal perforation from prior intubation and suctioning. Chest abnormality, sufficient to account for the degree of respiratory distress, was not demonstrated.