先天性心脏病婴儿中动脉导管压迫右上支气管导致的大叶性肺气肿。

Lobar emphysema due to ductus arteriosus compressing right upper bronchus in an infant with congenital heart disease.

作者信息

Hishitani Takashi, Ogawa Kiyoshi, Hoshino Kenji, Nakamura Yuzuru, Iwanaka Tadashi, Masago Kayo, Suzuki Misako

机构信息

Division of Cardiology, Saitama Children's Medical Center, Iwatsuki, Saitama, Japan.

出版信息

Ann Thorac Surg. 2003 Apr;75(4):1308-10. doi: 10.1016/s0003-4975(02)04623-4.

DOI:10.1016/s0003-4975(02)04623-4

PMID:12683583

Abstract

A 1-month-old boy with tetralogy of Fallot, pulmonary atresia, right aortic arch, and right ductus arteriosus, exhibited progressive right upper lobar emphysema since his birth. The emphysema was caused by the right ductus arteriosus compressing the right upper bronchus. After division of the ductus arteriosus the emphysema completely regressed. We should explore the cause of lobar emphysema thoroughly before lobectomy especially when it is extrinsic. The emphysema may regress by eliminating the extrinsic factor.

摘要

一名患有法洛四联症、肺动脉闭锁、右位主动脉弓和右位动脉导管的1个月大男婴，自出生以来出现进行性右上叶肺气肿。肺气肿是由右位动脉导管压迫右上支气管引起的。动脉导管切断后，肺气肿完全消退。在进行肺叶切除术前，尤其是当肺气肿是由外部因素引起时，我们应彻底探究其病因。消除外部因素后，肺气肿可能会消退。