Abstract:
Premature infants who require surgery for retinopathy of prematurity often exhibit bronchopulmonary dysplasia. Reactive airway is a clinical manifestation of bronchopulmonary dysplasia. We describe premature infant twins who had difficulty with positive pressure ventilation during anesthesia. Both cases occurred during induction of anesthesia for binocular anterior chamber puncture and vitreous cavity injection. The most likely cause in each case was airway malacia. We recommend that endotracheal intubation is performed in infant patients with low body weight; the possibility of airway malacia occurrence should be considered, especially for infants with comorbid bronchopulmonary dysplasia.
摘要:
需要进行早产儿视网膜病变手术的早产儿通常表现为支气管肺发育不良。反应性气道是支气管肺发育不良的临床表现。我们描述了在麻醉期间正压通气困难的早产儿双胞胎。2例均发生在双眼前房穿刺和玻璃体腔注射麻醉诱导期间。每种情况下最可能的原因是气道软化症。我们建议低体重的婴儿患者进行气管插管;应考虑发生气道软化的可能性,特别是对于患有共病支气管肺发育不良的婴儿。