PDF(Pubmed)
Abstract：
Tracheal stenosis is a rare but life-threatening disease in preterm infants. Misdiagnosis as congenital tracheal stenosis is common, making surgical management challenging. This report presents a case of a preterm infant with tracheal stenosis and congenital heart malformation treated with ECMO-assisted tracheal resection and end-to-end anastomosis. A male infant was born at 30 weeks of gestation with severe asphyxia, cardiac insufficiency, and pneumonia. Following failed medical treatment, fiberoptic bronchoscopy confirmed mid-tracheal to carinal stenosis. After a 2-week treatment course, ECMO-assisted tracheal resection and end-to-end anastomosis were performed successfully. This case confirms the feasibility of tracheal resection and end-to-end anastomosis in low-weight, preterm infants with tracheal stenosis born at 30 weeks gestation. The utilization of ECMO for oxygenation during surgery provides a clear surgical field and shorter operating time. Surgical intervention may be necessary for neonatal tracheal stenosis depending on the clinical presentation.
摘要：
气管狭窄是早产儿的一种罕见但危及生命的疾病。误诊为先天性气管狭窄是常见的，使手术管理具有挑战性。本报告介绍了一例经ECMO辅助气管切除术和端到端吻合术治疗气管狭窄和先天性心脏畸形的早产儿。一名男婴在妊娠30周时出生，患有严重窒息，心功能不全,和肺炎。治疗失败后，纤维支气管镜检查证实中段气管至隆突狭窄。经过2周的治疗，ECMO辅助气管切除和端端端吻合均成功。该病例证实了低体重气管切除和端端端吻合的可行性，妊娠30周时出生的气管狭窄早产儿。在手术过程中使用ECMO进行氧合提供了清晰的手术视野和更短的手术时间。根据临床表现，新生儿气管狭窄可能需要手术干预。
