Asada M, Yano S, Okayasu K, Tanabe T, Hiraga T, Kawakami Y
Second Department of Surgery, School of Medicine, Hokkaidou University, Sapporo, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1991 Apr;39(4):463-8.
Our case is a 20 years old man. An abnormal mass shadow and emphysematous lesion were found in the left S3 segment on a chest roentgenogram. A bronchogram revealed a left B3 defect. A complete obstruction of the left B3 bronchi covered with normal mucosa was found with a bronchoscopy. Since the patients suffered repeated respiratory infection, a left S3 segmentectomy was performed. Histological examination showed emphysematous change and the normally developed bronchi containing ciliated epithelium and cartilage. We found that, including this case, there are altogether 44 cases of congenital bronchial atresia in Japan. The literature of those cases was reviewed and discussed.
我们的病例是一名20岁男性。胸部X线片显示左肺上叶前段有异常肿块阴影和肺气肿病变。支气管造影显示左B3段缺损。支气管镜检查发现左B3支气管完全阻塞,表面覆盖正常黏膜。由于患者反复发生呼吸道感染,遂行左肺上叶前段切除术。组织学检查显示有肺气肿改变,支气管发育正常,含有纤毛上皮和软骨。我们发现,包括本病例在内,日本共有44例先天性支气管闭锁病例。对这些病例的文献进行了回顾和讨论。