Dilek KAHVECİOĞLU, Serdar ALAN, Gülnur GÖLLÜ, Ömer ERDEVE, Begüm ATASAY, Murat ÇAKMAK, Saadet ARSAN

Havayolu Hasarına Bağlı Olușan Pnömomediastinum ve Subkutan Amfizemli Bir Yenidoğanda Konservatif Tedavi

Newborn, tracheal injury, pneumomediastinum, subcutaneous emphysemia. Trakeal hasarlanma özellikle yenidoğanlarda nadir görülür ve hayatı tehdit eden komplikasyonları nedeniyle acil tanı ve tedavi gerektirir. Biz de bu makalede 342/7 haftada, 2160 gr doğan, surfaktan tedavisi verilmesi sırasında trakeal rüptür gelișen ve konservatif tedaviyle iyileșen bir kız yenidoğan olgusunu sunmayı amaçladık. Trakeal perforasyon gelișen yenidoğanlarda konservatif tedavide hasarlı bölgenin ilerisine endotrakeal tüp yerleștirilmesi, oral beslenmenin kesilmesi ve antibiyotik profilaksisi yer alır. Stabil vital bulguları olan hastalarda konservatif tedavi göz önünde bulundurulmalıdır.

Anahtar Kelimeler:

Yenidoğan, trakeal hasarlanma, pnömomediastinum, subkutan amfizem

Conservative Treatment of Neonatal Pneumomediastinum With Subcutaneous Emphysema Due To Airway Injury

Tracheal injury is an uncommon especially in neonates, and urgent recognition and management are needed because of its life-threatening complications. Here we present a- 2160 g-female newborn with 342/7 weeks gestation who sustained tracheal rupture following intubation for surfactant administration and treated with conservative management. Successful conservative management of tracheal perforation in infants involves the placement of uncuffed tubes distal to injury, holding of oral feeds and broad-spectrum antibiotics prophylaxis. Conservative management should be considered, especially in patient who has stable vital signs

Keywords:

Newborn, tracheal injury, pneumomediastinum, subcutaneous emphysemia,

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