Universidad El Bosque, Carrera 81 127A-46 To 1 Ap 201 Monteazul, Bogotá, DC, Colombia.
Clinica Reina Sofía, Bogotá, Colombia.
Gen Thorac Cardiovasc Surg. 2021 Jan;69(1):163-167. doi: 10.1007/s11748-020-01444-w. Epub 2020 Jul 21.
Congenital lobar overinflation is characterized by disruption of bronchopulmonary development which produces lobar or segmental bronchial abnormalities and overinflation of normal lung tissue. This is a 44-year old man, never smoker, who presents dyspnea every time he arrived in highlands, marked decreased breathing sounds and hyperresonance in the left hemithorax. Imaging studies suggested left upper lobe overinflation. The affected area was resected resulting in symptoms improvement. Accepted treatment is resection, however conservative management has been proposed for asymptomatic patients because cases of spontaneous improvement have been described. We recommend close monitoring and resection if symptoms or overinflation progress.
先天性肺大叶气肿的特征是支气管肺发育不良，导致肺叶或肺段支气管异常和正常肺组织过度充气。这是一名 44 岁的男性，从不吸烟，每次到达高原时都会出现呼吸困难，左侧胸部呼吸音明显减弱和过度回响。影像学研究提示左上肺过度充气。受累区域被切除，症状得到改善。接受的治疗是切除，但对于无症状患者，已经提出了保守治疗，因为已经描述了自发性改善的病例。我们建议密切监测，如果症状或过度充气进展，应进行切除。
