초극소 저체중 출생아에서 발생한 기관 삽관 후 기관지 천공
Bronchial Perforation Complicating Endotracheal Intubation in an Extremely Low Birth Weight Infant
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초록
신생아에서 기관 삽관과 관련된 기관지 손상은 드문 합병증이다. 기관 삽관 후 발생한 기관지 천공은 기흉, 기종격 등 대량의 흉곽내공기 유출을 일으켜 뇌실내 출혈과 종격동염으로 인한 패혈증을 유발하며 높은 사망률을 보인다. 저자는 초극소저체중 출생아에서 기관 삽관 후 발생하였고 흉관 삽입 후에도 지속된 대량의 흉곽내 공기 유출을 수술을 통해 기관지 천공으로 진단하였기에 경험을 보고한다.
Abstract
Bronchial injury is a rare and serious complication of endotracheal intubation in neonates. Bronchial perforation following tracheal intubation causes a high-volume air leak mimicking pneumothorax and pneumomediastinum, and it may result in intraventricular hemorrhage, mediastinitis and sepsis. I report my experience of diagnosing a main bronchial perforation in an extremely low birth weight infant, who had a high-volume air leak following tracheal intubation, which persisted after chest tube insertion.
참고문헌 (12)
- Doherty KM, "Neonatal tracheal rupture complicating endotracheal intubation: a case report and indications for conservative management", Int J Pediatr Otorhinolaryngol, 69, pp.111~116 (2005)
- Krause MF, "Partial transsection of the neonatal trachea", Resuscitation, 38, pp.43~46 (1998)
- 장영욱, "Iatrogenic Esophageal Perforation: An Occurrence from Feeding Tube Placement in a Premature Infant with a Pneumothorax", Neonatal medicine, 18(2), pp.387~390 (2011), 대한신생아학회
- Divatia J, "Complications of endotracheal intubation and other airway management procedures", Indian J Anaesth, 49, pp.308~316 (2005)
- Méndez R, "Management of massive air leak following intubation injury in a very low birth weight infant", Br J Anaesth, 88, pp.722~724 (2002)
- Amodio JB, "Retrocardiac pneumomediastinum in association with tracheal and esophageal perforations", Pediatr Radiol, 16, pp.380~383 (1986)
- Holcomb GW, "Iatrogenic perforation of the bronchus intermedius in a 1,100-g neonate", J Pediatr Surg, 24, pp.1132~1134 (1989)
- Anderson KD, "Pneumothorax secondary to perforation of sequential bronchi by suction catheters", J Pediatr Surg, 11, pp.687~693 (1976)
- McLeod BJ, "Neonatal tracheal perforation. A complication of tracheal intubation", Anaesthesia, 41, pp.67~70 (1986)
- Thakur A, "Bronchial perforation after closed-tube endotracheal suction", J Pediatr Surg, 35, pp.1353~1355 (2000)
- McCann U, "Primary repair of a neonatal bronchial intubation injury", J Pediatr Surg, 41, pp.570~572 (2006)
- Park SW, "A clinical study about symptomatic spontaneous pneumothorax", Korean J Perinatol, 17, pp.304~309 (2006)