肺间歇性肺气:成年人的罕见并发症 (报告了两个病例)
Mohamed Ayez1, Abderrahmane Ibenyahia1, Imane Bazi1
1Radiology Department, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Ibn Zohr Agadir University, National road, Nº01, BP : 56 , 80000, Agadir, Morocco.
Radiology case reports
|December 1, 2025
概括
肺间歇性肺气 (PIE) 在成年人中很少见,但即使在适度通风的情况下也可能发生. 在创伤患者中,早期CT检测对于及时干预和预防严重并发症至关重要.
科学领域:
- 医学 医学 医学 医学 医学
- 放射学 放射学是一门学科.
- 关键护理医学 关键护理医学
背景情况:
- 肺间歇性肺气 (PIE) 是一种罕见但严重的机械通风并发症,主要记录在新生儿身上.
- 它在成年患者中发生,特别是那些患有多重创伤的人,是非常罕见的.
- 这种情况可能导致危及生命的呼吸困扰.
研究的目的:
- 在多创伤患者中报告两例罕见的成人PIE病例.
- 突出早期CT检测的重要性,及时调整通风器.
- 强调成人PIE的诊断挑战和管理考虑.
主要方法:
- 两名多创伤患者的病例报告需要侵入性机械通风.
- 利用计算机断层扫描 (CT) 早期诊断PIE.
- 监控呼吸机设置和患者的结果.
主要成果:
- 在两个患者中,PIE是通过CT扫描在输管几小时内早期诊断出来的.
- 尽管使用适度的通风器设置,但PIE仍然发生.
- 两位患者都出现了神经复杂症,需要长时间的重症监护,包括气管切除术.
结论:
- 在通风成人创伤患者中,使用CT对PIE的早期放射性识别至关重要.
- 在不明原因的肺中或皮下肺气的情况下,考虑PIE是必不可少的.
- 及时调节和管理呼吸机对于防止严重后果至关重要.
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