Pneumatoceles causing respiratory compromise. Treatment by percutaneous decompression.
نویسندگان
چکیده
Pulmonary pneumatoceles are uncommon but generally benign, thin-walled parenchymal air collections arising in association with acute pneumonia. Rarely, they may attain such size as to severely affect respiration. We describe the percutaneous placement of multiple drains in a patient with pneumonia due to atypical measles and large pneumatoceles. Decompression via tubes resulted in improved ventilation and acceleration of recovery.
منابع مشابه
Pneumatocele formation in adult pneumonia.
Pneumatocele formation is unusual in adult pneumonia, particularly in pneumococcal pneumonia. We report three cases of pneumatocele formation in adults, including one with probable pneumococcal pneumonia. All three patients were severely ill and two expired. Although they are usually asymptomatic, pneumatoceles may enlarge and compress the adjacent lung and mediastinum. This occurred in two pat...
متن کاملAcute presentation of congenital diaphragmatic hernia past the neonatal period: a life threatening emergency.
PURPOSE Major gastric distension in the left hemithorax can threaten life in patients with congenital diaphragmatic hernia (CDH) presenting after the neonatal period. After presentation of two pediatric cases, guidelines for the optimal care of these patients are given. CLINICAL FEATURES Both children had respiratory and cardio-circulatory compromise on arrival. The diagnosis of late presenti...
متن کاملEmergency percutaneous needle decompression for tension pneumoperitoneum
BACKGROUND Tension pneumoperitoneum as a complication of iatrogenic bowel perforation during endoscopy is a dramatic condition in which intraperitoneal air under pressure causes hemodynamic and ventilatory compromise. Like tension pneumothorax, urgent intervention is required. Immediate surgical decompression though is not always possible due to the limitations of the preclinical management and...
متن کاملدرمان هرنیاسیون دیسک کمری با لیزر در بیمارستان امام خمینی (78-75)
Low back pain is among the most frequent medical complaints and a major public health problem. 1.7 percent of cases are caused by herniated disc, 20 percent of which require interventional treatment. Percutaneous laser disc decompression (P.L.DD) can be considered as an effective therapeutic alternative in certain cases. Materials and Methods: To determine the efficacy of this method in Iran i...
متن کاملClinical application of the paraspinal erector approach for spinal canal decompression in upper lumber burst fractures
OBJECTIVE Percutaneous pedicle screw fixation is commonly used for upper lumber burst fractures. The direct decompression remains challenging with this minimally invasive surgery. The objective was to evaluate a novel paraspinal erector approach for effective and direct decompression in patients with canal compromise and neurologic deficit. METHOD Patients (n = 21) with neurological deficienc...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Chest
دوره 103 4 شماره
صفحات -
تاریخ انتشار 1993