Fukumoto K, Matsuzaki Y, Yoshioka M, Edagawa M, Shibata K, Koga Y
Second Department of Surgery, Miyazaki Medical College, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1991 Jun;39(6):943-7.
One-year-old girl was admitted because of recurrent pneumonia and pectus excavatum. Chest X-ray showed hyperlucency at the upper lung field and infiltrated shadow at the lower field of the left lung. Bronchoscopy and bronchograms revealed marked collapse in a long segment of the left main bronchus during expiration. CT scan showed an emphysematous change and a giant bulla of left lung. Angiogram showed right aortic arch. Sternoturnover was performed at 5 years of age for pectus excavatum. After 10 months, left pneumonectomy was performed for bronchomalacia and lobar emphysema. Pathologic findings of the bronchus revealed that the rings were flattened, while the cartilage was microscopically normal.
一名一岁女童因反复肺炎和漏斗胸入院。胸部X线显示上肺野透亮增强,左肺下野有浸润影。支气管镜检查和支气管造影显示呼气时左主支气管长段明显塌陷。CT扫描显示左肺有肺气肿改变和一个巨大肺大疱。血管造影显示右位主动脉弓。该女童5岁时因漏斗胸接受了胸骨翻转术。10个月后,因支气管软化和大叶性肺气肿接受了左肺切除术。支气管的病理检查结果显示支气管环变平,而软骨在显微镜下正常。