Ceran Sami, Altuntas Bayram, Sunam Guven Sadi, Bulut Ismet
Department of Thoracic Surgery, Regional Education and Research Hospital, Erzurum, Turkey.
Afr J Paediatr Surg. 2010 Jan-Apr;7(1):36-7. doi: 10.4103/0189-6725.59360.
Congenital lobar emphysema (CLE) is a rare congenital abnormality characterised by overinflation of a pulmonary lobe. Its aetiology is unknown. The management of CLE has traditionally been surgical. A newborn boy with a birthweight of 2.5 kg was delivered at full-term by caesarian section due to food delivery. There was no marked respiratory distress at birth, and little meconium stained liquor was seen on the skin. The initial diagnosis was meconium aspiration syndrome. After computed tomography of the thorax, CLE was diagnosed. The patient was observed throughout for a week and the CT of the thorax was repeated, which revealed that the emphysema had resolved. The nonoperative approach should be considered in asymptomatic patients with CLE.
先天性肺叶气肿（CLE）是一种罕见的先天性异常，其特征为肺叶过度充气。其病因不明。传统上，CLE的治疗方法是手术。一名出生体重2.5千克的足月男婴因胎儿窘迫行剖宫产娩出。出生时无明显呼吸窘迫，皮肤见少量胎粪污染羊水。初步诊断为胎粪吸入综合征。胸部计算机断层扫描后，诊断为CLE。对该患者进行了一周的全程观察，并重复进行胸部CT检查，结果显示气肿已消退。对于无症状的CLE患者，应考虑非手术治疗方法。
