AI Article Synopsis

  • Pulmonary hemorrhage (PH) is a severe and rare condition in neonates, particularly premature infants, with high death rates.
  • Primary treatments generally include surfactant therapy, ventilatory support, and managing blood clotting issues, but diagnosing and treating persistent cases remains difficult.
  • A recent case study highlights the successful use of ultra-slim bronchoscopy to diagnose and treat localized pulmonary hemorrhage in a premature infant, suggesting it as a viable option for early intervention in serious cases of PH.

Article Abstract

Pulmonary hemorrhage (PH) is a rare acute catastrophic event with high mortality among neonates, especially preterm infants. Primary treatments included pulmonary surfactant, high-frequency oscillatory ventilation, epinephrine, coagulopathy management, and intermittent positive pressure ventilation. However, there are still challenges in diagnosing and treating refractory or focal pulmonary hemorrhages. Ultra-slim bronchoscopy has been widely used in the field of critically ill children and is increasingly being done in neonates with critical respiratory disease in recent years. In this study, we report a case with refractory pulmonary hemorrhage in premature infants, which was finally diagnosed as localized hemorrhage in the upper left lobe and cured by ultra-slim bronchoscopy-guided topical hemostatic drug administration. Bronchoscopy is an optional, safe, and practicable technique for early diagnosis and direct injection therapy of neonatal PH in managing life-threatening PH.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9623275PMC
http://dx.doi.org/10.3389/fped.2022.981006DOI Listing

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