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肺隔离症的临床症状与治疗

Clinical symptoms and therapy of lung separation.

作者信息

Gdanietz K, Vorpahl K, Piehl G, Höck A

出版信息

Prog Pediatr Surg. 1987;21:86-97. doi: 10.1007/978-3-642-71665-2_12.

Abstract

This paper refers to the different terminology used in so-called lung separation/sequestration and to the standpoint of the pathologist. Theories of development are discussed. Clinical symptoms, diagnosis, indications for operation and operative technique are described, and nine cases of lung separation (six with extralobar and three with intralobar forms) tabulated analysed. Among them there is a 5-month-old female infant with extralobar lung separation in the right hemithorax resulting in recurrent pleural effusions with severe respiratory insufficiency. There was evidence of aeration in the pathohistological preparation. Pleural effusion and the origin of the aeration in the separated lung are discussed.

摘要

本文探讨了所谓肺分离/隔离症中使用的不同术语以及病理学家的观点。讨论了发育理论。描述了临床症状、诊断、手术指征和手术技术,并对9例肺分离病例(6例叶外型和3例叶内型)进行了列表分析。其中有1例5个月大的女婴,右半胸叶外型肺分离,导致反复胸腔积液并伴有严重呼吸功能不全。病理组织学切片中有通气的证据。文中还讨论了胸腔积液和分离肺中通气的来源。

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