RESUMO
Abstract Pulmonary interstitial emphysema (PIE) is a common problem in premature neonates with respiratory distress syndrome. This condition is often related to barotrauma caused by mechanical ventilation or continuous positive airway pressure applied to low birth weight neonates. The clinical diagnosis can be challenging. However, after proper diagnosis, several interventions are available for successful management. We describe an infant who developed severe PIE with recurrent pneumothoraces and development of a persistent bronchopleural fistula shortly after repair of a hypoplastic aortic arch and description of successful lobectomy with the assistance of extracorporeal support (ECMO).
Assuntos
Humanos , Masculino , Recém-Nascido , Pessoa de Meia-Idade , Aorta Torácica/cirurgia , Doenças da Aorta/cirurgia , Enfisema Pulmonar/etiologia , Procedimentos Cirúrgicos Cardíacos/efeitos adversos , Aorta Torácica/anormalidades , Aorta Torácica/diagnóstico por imagem , Doenças da Aorta/congênito , Doenças da Aorta/diagnóstico por imagem , Enfisema Pulmonar/diagnóstico por imagem , Recém-Nascido de Baixo Peso , Recém-Nascido Prematuro , Oxigenação por Membrana ExtracorpóreaRESUMO
Les auteurs ont voulu; a partir d'un collectif de 148 amygdalectomies; degager les principales indications et les techniques de cette chirurgie ambulatoire dans les conditions d'exercice d'un service d'ORL d'Afrique noire tel que le Burkina Faso. Les indications operatoires dans la presente etude ont ete les suivantes : les angines a repetition (54;05 pour cent); l'amygdalyte chronique cryptique (20;27 pour cent); les complications loco-regionales aigues des angines (10;14 pour cent); la pathologie obstructive (9;46 pour cent) et les complications generales (6;08 pour cent)