Harle C C, Dearlove O, Walker R W, Wright N
Department of Paediatric Anaesthesia, Royal Manchester Children's Hospital, Pendlebury, Manchester, UK.
Anaesthesia. 1999 Mar;54(3):262-5. doi: 10.1046/j.1365-2044.1999.00711.x.
A 3-month-old infant treated for 3 weeks for suspected bronchiolitis, developed episodes of profound desaturation. A lateral X-ray showed displacement and compression of the trachea. Respiratory arrest, from which she was successfully resuscitated, occurred just before MRI scan. The mass was removed at thoracotomy and a histological diagnosis of a bronchogenic cyst was made. Mediastinal masses in babies are relatively rare, and the situation in which they present with acute respiratory distress may prove extremely challenging to the anaesthetist. Bronchogenic cysts are difficult to diagnose pre-operatively and awareness may assist in the peri-operative management of these infants.
一名3个月大的婴儿因疑似细支气管炎接受了3周治疗，出现了严重的血氧饱和度下降发作。胸部侧位X线片显示气管移位和受压。在进行MRI扫描前，患儿发生了呼吸骤停，但成功复苏。经开胸手术切除肿块，组织学诊断为支气管源性囊肿。婴儿纵隔肿块相对少见，而它们以急性呼吸窘迫表现的情况可能对麻醉师极具挑战性。支气管源性囊肿术前难以诊断，对此有所认识有助于这些婴儿的围手术期管理。
