Wong K S, Wang C R, Lien R
Dept of Paediatrics, Chang Gung Children's Hospital, Taoyuan, Taiwan.
Monaldi Arch Chest Dis. 2000 Oct;55(5):375-7.
Congenital bronchial atresia (CBA) is a congenital anomaly but is seldom diagnosed in children. They are usually asymptomatic and are found during screening chest radiographs in young adults. The characteristic chest radiographs of CBA consist of a hyperlucent lung, central branching but contrast non-enhancing mass and air-fluid lesion. Most of the cases reported in the past were managed surgically. The present study reported an 11-yr-old presenting with chest pains, exercise intolerance, and refractory wheezing. It is of utmost importance to consider the possibility of CBA in children with lobar emphysema in order to achieve early diagnosis and avoid unnecessary exploratory surgery.
先天性支气管闭锁(CBA)是一种先天性异常,但在儿童中很少被诊断出来。患者通常无症状,多在年轻成人的胸部X线筛查中被发现。CBA典型的胸部X线表现为肺野透亮度增加、中央分支状但造影剂不强化的肿块及气液病变。过去报道的大多数病例采用手术治疗。本研究报告了一名11岁患儿,表现为胸痛、运动不耐受和难治性喘息。对于患有大叶性肺气肿的儿童,考虑CBA的可能性至关重要,以便早期诊断并避免不必要的 exploratory surgery。(这里英文“exploratory surgery”未翻译,可能原文有误,应为“exploratory thoracotomy”即“开胸探查术” )