Paul K P, Börner C, Müller K M, Vogt-Moykopf I
Universitätskinderklinik, Heidelberg, Germany.
Am Rev Respir Dis. 1991 Apr;143(4 Pt 1):876-9. doi: 10.1164/ajrccm/143.4_Pt_1.876.
Respiratory distress developed in a 5-month-old female infant with roentgenographic evidence of hyperinflation of the right lung. Bronchoscopy revealed a vascular tumor extending from the medial wall of the right main bronchus leading to a check-valve mechanism. Radionuclide lung scans showed ventilation and perfusion of the right side reduced to 36 and 11% of the total lung ventilation and perfusion, respectively. At the age of 7 months a sleeve of the right main bronchus was resected and a reanastomosis performed. The operation specimen contained a capillary hemangioma measuring 1.2 X 0.6 cm. The postoperative course was uneventful. Perfusion of the right lung had markedly improved 6 months after the operation, and at the age of 2 yr and 9 months it was completely normal. Capillary hemangiomas must be considered a cause of bronchial obstruction in infancy, and surgery can be performed successfully.
一名5个月大的女婴出现呼吸窘迫，胸部X线片显示右肺过度充气。支气管镜检查发现一个血管性肿瘤从右主支气管内侧壁延伸，导致单向活瓣机制。放射性核素肺扫描显示右侧肺通气和灌注分别降至全肺通气和灌注的36%和11%。7个月大时，切除了右主支气管的一段并进行了重新吻合。手术标本包含一个大小为1.2×0.6 cm的毛细血管瘤。术后过程顺利。术后6个月，右肺灌注明显改善，在2岁9个月时完全正常。毛细血管瘤必须被视为婴儿期支气管阻塞的一个原因，并且手术可以成功进行。
