Badiu Ioana, Hiriscau Anca, Lupan Iulia, Samasca Gabriel
Iuliu Hatieganu University of Medicine and Pharmacy, Department of Pediatrics, IIIrd Pediatric Clinic, Cluj-Napoca, Romania.
Babes-Bolyai University, Department of Molecular Biology and Biotechnology, Cluj-Napoca, Romania.
Maedica (Bucur). 2017 Jun;12(2):133-135.
Congenital lobar emphysema in infants is a disorder that is detected most often in newborns or young infants. We report here the case of a 4-month-old infant who at two months suddenly presented upper respiratory infections, treated symptomatically, but evolution showed shortness of breath, wheezing, weight deficit. Thoracic ultrasound revealed left upper lobe hyperinflation causing mediastinal displacement to the right, a slightly reduced blood supply at this level, and a lobar emphysema appearance. Bronchoscopy evidenced a thickening in the left bronchial tree, due to left upper lobe emphysema.
婴儿先天性大叶性肺气肿是一种最常在新生儿或幼儿中被发现的病症。我们在此报告一例4个月大的婴儿,该婴儿在两个月大时突然出现上呼吸道感染,接受了对症治疗,但病情发展显示出呼吸急促、喘息和体重不足。胸部超声显示左上叶过度充气,导致纵隔向右移位,该部位血液供应略有减少,呈现大叶性肺气肿表现。支气管镜检查证明,由于左上叶肺气肿,左支气管树增厚。