Fibrin glue pleurodesis for pneumothorax in extremely preterm infants: a case report and literature review.

Fibrin glue pleurodesis for pneumothorax in extremely preterm infants: a case report and literature review.
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DOI:
10.1186/s13052-018-0533-6
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发表时间:
2018-08-14
影响因子:
3.6
通讯作者:
Dani C
Dani C
中科院分区:
医学3区
文献类型:
--
作者:
Drovandi L;Cianchi I;Pratesi S;Dani C

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胸管引流和机械通气是症状性气胸(PTX)的有效治疗方法,但持续性(> 7天)PTX的最佳治疗方法尚不清楚。我们报告了一例成功的纤维蛋白胶胸膜固定术的持续性PTX极早产儿没有不良反应。我们讨论了以前的文献这种治疗。总体而言,12例报告的病例表明,使用纤维蛋白胶进行持续PTX密封是一种简单、快速和有效的治疗方法,其可能报告的不良反应是一过性的,不会引起永久性后遗症。因此,纤维蛋白胶胸膜固定术可能被认为是一个合适的治疗工具,非常早产儿持续PTX。
Chest tube drainage and mechanical ventilation are effective treatment of symptomatic pneumothorax (PTX), but the best management of persistent (> 7 days) PTX is unknown. We reported a case of successful fibrin glue pleurodesis of persistent PTX in an extremely preterm infant without adverse effects. We discussed previous literature on this treatment. Overall, the twelve reported cases suggest that persistent PTX sealing with fibrin glue can represent a simple, quick, and effective treatment whose possible reported adverse effects are transient and do not cause permanent sequelae. Thus, fibrin glue pleurodesis might be considered a suitable therapeutic tool in very preterm infant with persistent PTX.
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