Gordon I, Dempsey J E
Hospital for Sick Children, London.
Clin Radiol. 1990 Jan;41(1):48-52. doi: 10.1016/s0009-9260(05)80933-x.
Three cases of congenital heart disease (CHD) are presented; all infants developed the unusual complication of lobar emphysema (LE). In all cases delay in reaching the correct diagnosis resulted in two of the infants undergoing a second operation to resect the emphysematous lobe. The chest radiograph in all cases was dominated by the heart disease and the radiological signs of LE were initially missed. The radionuclide ventilation/perfusion lung scan was used in two of these infants to provide conclusive proof and to emphasise the clinical significance of the condition. Lobar emphysema in association with CHD should be recognised early and lobectomy performed at the same time as surgical correction of the heart defect.
本文介绍了三例先天性心脏病（CHD）病例；所有婴儿均出现了罕见的肺叶气肿（LE）并发症。在所有病例中，由于未能及时做出正确诊断，导致两名婴儿接受了第二次手术以切除气肿肺叶。所有病例的胸部X光片均以心脏病为主，最初均未发现LE的放射学征象。其中两名婴儿接受了放射性核素通气/灌注肺扫描，以提供确凿证据并强调该病症的临床意义。与CHD相关的肺叶气肿应尽早识别，并在心脏缺陷手术矫正的同时进行肺叶切除术。
