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KMID : 0438520110180010153
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Journal of the Korean Society of Neonatology
2011 Volume.18 No. 1 p.153 ~ p.157
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Two Cases of Tension Pneumopericardium in Mechanically Ventilated Preterm Infants
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Maeng Se-Hyun
Seo Hyun-Joo
Shin Jeong-hee
Jung Ji-mi
Kim Jin-Kyu
Yoo Hye-Soo
Ahn So-Yoon
Kim Eun-Sun
Chang Yun-Sil
Park Won-Soon
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Abstract
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Pneumopericardium is a rare form of neonatal air leakage. Tension pneumopericardium is much more infrequent, but can cause a cardiovascular deterioration with high mortality up to 80% and neurodevelopmental morbidity in half of the cases. We report two cases of preterm infants who successfully recovered from tension pneumopericardium that developed during mechanical ventilator assistance. The patients displayed a sudden increase in oxygen demand and subsequent cardiovascular deterioration. Immediate needle aspiration of the pneumopericardium performed after checking X-ray images rescued each of patient. Since the clinical symptoms are non-specific, clinicians’ suspicion is most important when patients show sudden refractory cardiovascular collapse, especially in ventilator-assisted neonates. This life threatening complication demands instant diagnosis and intervention.
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KEYWORD
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Pneumopericardium, Preterm infant, Mechanical ventilator
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