Wang Ning, Wu Xuedong, Zhang Shanshan, Li Na
Departamento de Cirugía Pediátrica, Primer Hospital Afiliado, Universidad de Dali, Yunnan, China.
Arch Argent Pediatr. 2019 Aug 1;117(4):e416-e419. doi: 10.5546/aap.2019.eng.e416.
Treats of symptomatic infants with congenital cystic lung lesions (CCLLs) need surgical resection. Variable location and size of the air cyst of involved lung mean that different surgical strategies must be selected. The presence of huge CCLLs mimicking tension pneumothorax would hamper accurate judgment and timely treatment in dealing with respiratory emergencies. Rare experience reports are coping with childhood tension cystic lung lesion. We present a case of childhood huge CCLLs which was similar to tension pneumothorax based on clinical manifestations and imaging evaluations. Implementation of instant decompression measure against tension pneumothorax failed to alleviate respiratory distress of child. We should exclude the possibility of huge lung cystic lesion in children when clinical evidence inclines to the diagnosis of tension pneumothorax.
患有先天性肺囊性病变（CCLLs）的有症状婴儿需要手术切除。受累肺的气囊肿位置和大小各异，这意味着必须选择不同的手术策略。巨大的CCLLs类似张力性气胸，会妨碍在处理呼吸紧急情况时的准确判断和及时治疗。应对儿童张力性肺囊性病变的经验报道很少。我们报告一例儿童巨大CCLLs，根据临床表现和影像学评估，其类似张力性气胸。针对张力性气胸采取的即时减压措施未能缓解患儿的呼吸窘迫。当临床证据倾向于诊断张力性气胸时，我们应排除儿童巨大肺囊性病变的可能性。
