Alberti Daniele, Borsellino Alessandro, Migliazza Lucia, Brena Mario Leo, Sonzogni Aurelio, Cheli Maurizio, Colombo Angelo, Locatelli Giuseppe
Department of Pediatric Surgery, Ospedali Riuniti di Bergamo, Bergamo, Italy.
J Pediatr Surg. 2004 Nov;39(11):1719-23. doi: 10.1016/j.jpedsurg.2004.07.025.
Torsion of a lung or a lobe (LT) is a severe, sometimes life-threatening event that may occur spontaneously, after trauma, or after cardiac or thoracic surgery. The authors report on 2 prematurely born neonates who had LT after cardiac surgery. Both patients successfully underwent pulmonary lobectomy, which seems to be the best surgical approach. Given that careful anatomic unfolding of the lung and its reinflation under vision at the end of a cardiac or thoracic operation is deemed crucial to avoid LT, the authors suggest that, in case of a complete pulmonary fissure and/or free long bronchovascular pedicle, lobe fixation should be accomplished, too. Because of its rarity, we could find only 6 well-documented reports of LT diagnosed in children, whereas another 3 cases were quoted without clinical details. The pediatric literature is reviewed.
肺或肺叶扭转（LT）是一种严重的、有时甚至危及生命的事件，可自发发生，也可在创伤后、心脏或胸外科手术后出现。作者报告了2例心脏手术后发生肺叶扭转的早产新生儿。两名患者均成功接受了肺叶切除术，这似乎是最佳的手术方法。鉴于在心脏或胸外科手术结束时，在直视下仔细对肺进行解剖展开并使其复张被认为对避免肺叶扭转至关重要，作者建议，在存在完整肺裂和/或游离的长支气管血管蒂的情况下，也应进行肺叶固定。由于其罕见性，我们仅能找到6例儿童肺叶扭转的详细记录报告，另有3例虽被引用但无临床细节。本文对儿科文献进行了综述。
