Wiersbitzky S, Wiersbitzky H, Lorenz G, Tischer W, Fanghänel J, Bruns R, Ballke E H, Meisel P, Abel J
Klinik für Kindermedizin, Ernst-Moritz-Arndt-Universität Greifswald/DDR.
Z Erkr Atmungsorgane. 1988;171(2):175-83.
Gastric and enteric cysts represent genuine duplications. With regard to their genesis opinions are divided. These duplications may perforate into the lung parenchyma and/or the bronchial system, giving rise to specific symptoms. The only possible therapy is complete extirpation. The intrapulmonary metastases are drained and aspirated and can be cured without loss of lung tissue. A report is given on a thoracic cystic gastric duplication with haemorrhagic inflammation of the mucous membrane associated with erosions in a 8-week old boy. Clinically, the duplication was reflected by poor general health, dyspnea and tachypnea. The perforation into the bronchial system caused respiratory insufficiency. Using antibiotic therapy, immune substitution and surgery in combination, the boy was cured. The morphological findings, causative embryological factors, and diagnostic possibilities and problems are discussed.
胃和肠囊肿是真正的重复畸形。关于其起源，观点不一。这些重复畸形可能会穿破进入肺实质和/或支气管系统，引发特定症状。唯一可能的治疗方法是彻底切除。肺内转移灶可进行引流和抽吸，且可在不损失肺组织的情况下治愈。本文报告了一名8周大男孩的胸段囊性胃重复畸形病例，该畸形伴有黏膜出血性炎症及糜烂。临床上，重复畸形表现为一般健康状况不佳、呼吸困难和呼吸急促。穿破进入支气管系统导致呼吸功能不全。通过联合使用抗生素治疗、免疫替代和手术，该男孩得以治愈。文中还讨论了形态学发现、致病的胚胎学因素以及诊断的可能性和问题。
