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双侧肺叶先天性大叶性肺气肿:一例报告

Congenital lobar emphysema in bilateral lung lobes: a case report.

作者信息

Lei Qiaoling, Zeng Wen, Ju Rong

机构信息

Department of Neonatology, Chengdu Women's and Children's Central Hospital, Chengdu, China.

出版信息

Transl Pediatr. 2020 Jun;9(3):266-271. doi: 10.21037/tp-19-147.

Abstract

Congenital lobar emphysema (CLE) is a rare congenital anomaly of lung. It presents different respiratory symptoms due to affected lobar emphysema, compression atelectasis and mediastinal shift. It can affect one or more lobes. There is usually no typical clinical manifestation in clinic. Typical X-ray can help to diagnose. We report a case of neonatal CLE, which first appeared in the right middle lobar. After right middle lobe (RML) lobectomy, respiratory distress appeared again. Emphysema was found again in the left lower lung. The multiple lobes emphysema appear at different times, and this case occurred after lobectomy.

摘要

先天性肺叶气肿(CLE)是一种罕见的先天性肺部异常。由于受影响的肺叶气肿、压迫性肺不张和纵隔移位,它会呈现出不同的呼吸道症状。它可累及一个或多个肺叶。临床上通常没有典型的临床表现。典型的X线检查有助于诊断。我们报告一例新生儿CLE,最初出现在右中叶。右中叶切除术后,再次出现呼吸窘迫。在左下肺再次发现气肿。多肺叶气肿在不同时间出现,本例发生在肺叶切除术后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4184/7347767/86520e818271/tp-09-03-266-f1.jpg

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