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儿童外伤性肺囊肿的诊断难题、病程、处理和预后

Diagnostic dilemmas, course, management and prognosis of traumatic lung cysts in children.

机构信息

Department of Pediatric Surgery, Aseer Central Hospital, Abha, Saudi Arabia.

出版信息

Indian J Pediatr. 2010 Feb;77(2):200-2. doi: 10.1007/s12098-009-0253-4.

Abstract

The patients were 8 and 9 years old respectively. Both were passengers in a vehicle and suffered multisystem injuries. Case no.1 suffered a fractured occipital bone, lung contusions and a small pneumothorax in addition to the traumatic lung cysts in the left lung. Case 2 sustained contused and lacerated liver and right lung cysts. CT examination showed cystic areas in the lung which were diagnostic in case 2. In case 1 a traumatic rupture of diaphragm could not be ruled out and the patient underwent an exploratory laparotomy to deal with the same. The lung cysts in both the patients were treated conservatively and both showed resolution in repeat CT scans done at 6 months.

摘要

这两名患者分别为 8 岁和 9 岁,均为车辆乘客,遭受多系统损伤。病例 1 患者出现枕骨骨折、肺挫伤和少量气胸,以及左肺创伤性肺囊肿。病例 2 患者肝挫伤和撕裂伤以及右肺囊肿。CT 检查显示病例 2 中肺部有囊性区域,有助于诊断。病例 1 不能排除膈肌创伤性破裂,患者接受了剖腹探查术以处理该问题。两名患者的肺囊肿均保守治疗,6 个月后重复 CT 扫描显示囊肿均已消退。

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