儿童中叶综合征。

Middle lobe syndrome in children today.

机构信息

Department of Mother and Child Health, Salesi University Children's Hospital, Ancona, Italy.

Pulmonology Unit, 3(rd) Department of Paediatrics, University General Hospital "Attikon", School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.

出版信息

Paediatr Respir Rev. 2014 Jun;15(2):188-93. doi: 10.1016/j.prrv.2014.01.002. Epub 2014 Jan 31.

DOI:10.1016/j.prrv.2014.01.002

PMID:24630779

Abstract

Middle lobe syndrome in children is a distinct clinical and radiographic entity that has been well described in the pediatric literature. However, issues regarding its etiology, clinical presentation, and management continue to puzzle the clinical practitioner. Pathophysiologically, there are two forms of middle lobe syndrome, namely obstructive and nonobstructive. Middle lobe syndrome may present as symptomatic or asymptomatic, as persistent or recurrent atelectasis, or as pneumonitis or bronchiectasis of the middle lobe and/or lingula. A lower threshold of performing a chest radiograph is warranted in children with persistent or recurrent nonspecific respiratory symptoms, particularly if there is clinical deterioration, in order to detect middle lobe syndrome and to initiate a further diagnostic and therapeutic workup.

摘要

儿童中叶综合征是一种独特的临床和影像学实体，在儿科文献中有详细描述。然而，其病因、临床表现和治疗管理仍困扰着临床医生。从病理生理学上讲，中叶综合征有两种形式，即阻塞性和非阻塞性。中叶综合征可表现为有症状或无症状、持续或反复性肺不张，或中叶和（或）舌段的肺炎或支气管扩张。对于持续性或反复性非特异性呼吸道症状的儿童，特别是在临床恶化的情况下，需要降低进行胸部 X 线检查的门槛，以发现中叶综合征并进一步进行诊断和治疗。