Mourya Meenakshi, Meena Dharam Singh
Senior Resident, Department of Anesthesiology and Critical Care, Safdarjang Hospital and Vardhaman Mahavir Medical College , New Delhi, India .
Assistant Professor, Department of Anesthesiology and Critical Care, Safdarjang Hospital and Vardhaman Mahavir Medical College , New Delhi, India .
J Clin Diagn Res. 2016 Aug;10(8):UD01-3. doi: 10.7860/JCDR/2016/21774.8382. Epub 2016 Aug 1.
Congenital Lobar Emphysema (CLE) is a medical condition which is quiet rarely seen especially in neonates. The disease is characterized by over inflation of lungs which is produced due to inhibition of escape of inspired air from lungs. This condition usually occurs in infants due to partial obstruction of the bronchus and can be reversed with timely and planned anaesthetic management. Here in, we are presenting a case of an infant who was merely four months of age. CLE was affecting his left upper lobe since birth which was being treated as lobar pneumonia outside at some peripheral health center. The case presented to hospital with the symptoms acute respiratory distress and was taken up for urgent surgical management. Left upper lobectomy was performed which relived his symptoms. Case was discharged from hospital after 10 days of uneventful hospital stay. The case was challenging, as it involved careful and planned anaesthetic management of lung separation as well as prevention of hyperventilation of the un-involved lung.
先天性肺叶气肿（CLE）是一种极为罕见的病症，尤其是在新生儿中。该疾病的特征是肺部过度膨胀，这是由于吸入的空气无法从肺部排出所致。这种情况通常发生在婴儿身上，是由于支气管部分阻塞引起的，通过及时且有计划的麻醉管理可以得到缓解。在此，我们呈现一例仅4个月大婴儿的病例。自出生以来，CLE就影响着他的左上叶，在一些周边医疗中心曾被当作大叶性肺炎治疗。该病例因急性呼吸窘迫症状入院，并接受了紧急手术治疗。实施了左上叶切除术，症状得以缓解。经过10天的平稳住院期后，患者出院。该病例颇具挑战性，因为它涉及对肺分离进行仔细且有计划的麻醉管理以及防止未受累肺过度通气。
