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肺扭转作为先天性食管闭锁修复术的一种非典型并发症——病例报告及文献复习

Pulmonary torsion as an atypical complication of congenital esophageal atresia repair-a case report and review of literature.

作者信息

Koziarkiewicz Maria, Taczalska Anna, Piaseczna-Piotrowska Anna

机构信息

Department of Pediatric Surgery and Urology, Polish Mother's Health Center Research Institute, Lodz, Poland.

出版信息

European J Pediatr Surg Rep. 2014 Jun;2(1):43-5. doi: 10.1055/s-0033-1361834. Epub 2014 Jan 16.

Abstract

Pulmonary torsion is a severe, life-threatening event, rarely occurring in children. We present a case of atypical postoperative complication of esophageal atresia repair in the form of pulmonary torsion comprising the middle lobe of the right lung. Clinical deterioration in the face of normal arterial blood gases should rise a high index of suspicion for pulmonary torsion. Early diagnosis is crucial, treatment is surgical, detorsion if possible, or if the lobe is not viable-resection.

摘要

肺扭转是一种严重的、危及生命的事件,在儿童中很少发生。我们报告一例食管闭锁修复术后非典型并发症,表现为右肺中叶肺扭转。在动脉血气正常的情况下出现临床恶化应高度怀疑肺扭转。早期诊断至关重要,治疗方法是手术,如有可能进行扭转复位,或者如果肺叶无法存活则进行切除。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9331/4336054/fa5f31f79678/10-1055-s-0033-1361834-i130039cg-1.jpg

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