Glasberg Talia, Jackson Paige, Pavlova Zdena, Nair Srikumar
Neonatology, Children's Hospital of Los Angeles.
Pathology, Children's Hospital of Los Angeles.
Cureus. 2017 May 30;9(5):e1298. doi: 10.7759/cureus.1298.
Pulmonary hypoplasia is the incomplete development of lung tissue. A reduced number of lung cells, airways, and alveoli is the hallmark and can be seen unilaterally or in both lungs. The diagnosis, however, is usually made upon pathologic examination. Here we have presented a case of a term infant presenting with severe hypoxemic respiratory failure. Despite optimizing medical and respiratory management, the infant passed away at 22 hours of life. On autopsy, she was discovered to have bilateral diaphragmatic eventrations, which is a rare cause of secondary pulmonary hypoplasia. She also was found to have some other minor abnormalities on autopsy but no unifying cause for the eventrations and other abnormalities was elucidated.
肺发育不全是肺组织的发育不完全。肺细胞、气道和肺泡数量减少是其特征,可单侧或双侧出现。然而,诊断通常在病理检查时做出。在此,我们报告了一例足月儿出现严重低氧性呼吸衰竭的病例。尽管优化了医疗和呼吸管理,该婴儿仍在出生22小时后死亡。尸检发现,她患有双侧膈膨升,这是继发性肺发育不全的罕见原因。尸检还发现她有一些其他轻微异常,但未阐明膈膨升和其他异常的统一病因。