The use of bronchial occlusion test in a preterm infant with severe bronchopulmonary dysplasia complicated by severe lobar emphysema
10.7499/j.issn.1008-8830.2403014
- VernacularTitle:支气管封堵试验在早产儿重度支气管肺发育不良伴严重肺叶气肿中的应用1例
- Author:
Hui-Juan LIU
1
;
Rui-Lian GUAN
;
Xin QIN
;
Huai-Zhen WANG
;
Gao-Long ZHANG
;
Jian-Bin LI
;
Li MA
;
Le LI
;
Lian-Wei LU
;
Yi SUN
;
Hua-Yan ZHANG
Author Information
1. 广州医科大学附属妇女儿童医疗中心新生儿中心,广东广州 510623
- Keywords:
Bronchial occlusion;
Bronchopulmonary dysplasia;
Pulmonary emphysema;
Lobectomy;
Infant
- From:
Chinese Journal of Contemporary Pediatrics
2024;26(6):659-664
- CountryChina
- Language:Chinese
-
Abstract:
In infants with severe bronchopulmonary dysplasia(sBPD),severe pulmonary lobar emphysema may occur as a complication,contributing to significant impairment in ventilation.Clinical management of these infants is extremely challenging and some may require lobectomy to improve ventilation.However,prior to the lobectomy,it is very difficult to assess whether the remaining lung parenchyma would be able to sustain adequate ventilation postoperatively.In addition,preoperative planning and perioperative management are also quite challenging in these patients.This paper reports the utility of selective bronchial occlusion in assessing the safety and efficacy of lobectomy in a case of sBPD complicated by severe right upper lobar emphysema.Since infants with sBPD already have poor lung development and significant lung injury,lobectomy should be viewed as a non-traditional therapy and be carried out with extreme caution.Selective bronchial occlusion test can be an effective tool in assessing the risks and benefits of lobectomy in cases with sBPD and lobar emphysema.However,given the technical difficulty,successful application of this technique requires close collaboration of an experienced interdisciplinary team.
