Ventilation-perfusion scans in neonatal regional pulmonary emphysema complicating ventilatory assistance.
AJR Am J Roentgenol, 1978/8;131(2):243-6.
Leonidas JC, Moylan FM, Kahn PC, Ramenofsky ML
PMID: 98002
Impact factor: 6.582
Abstract
Two cases of ventilator-related neonatal lobar overexpansion with similar radiographic appearance, but probably different pathogenesis, are presented. In one infant, persistent interstitial lobar emphysema was confirmed by markedly decreased perfusion shown on scintigraphy; this information was of great value in predicting the beneficial effect of lobectomy. In the other case, ventilation and perfusion scans indicated functional value of the emphysematous lobe and correctly suggested conservative management. Radioisotope lung scans may provide valuable information regarding lung function in regional pulmonary emphysema associated with assisted ventilation in neonatal respiratory distress syndrome, and thus determine patient management.
MeSH terms
Humans; Infant, Newborn; Male; Positive-Pressure Respiration; Pulmonary Emphysema; Radionuclide Imaging; Respiratory Distress Syndrome, Newborn
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