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先天性大叶性肺气肿病例报告:一种常被误诊的疾病。

Congenital lobar emphysema case report: A frequently misdiagnosed disease.

作者信息

Ibrahim Rahaf, Ali Sawssan, Darwish Bassam

机构信息

Pediatric Department, Damascus University Pediatric Hospital, Damascus, Syria.

Pulmonary Pediatric Department, Damascus University Pediatric Hospital, Damascus, Syria.

出版信息

Ann Med Surg (Lond). 2022 May 11;78:103766. doi: 10.1016/j.amsu.2022.103766. eCollection 2022 Jun.

Abstract

INTRODUCTION AND IMPORTANCE

Congenital Lobar Emphysema is a rare cystic lesion of the lung which may be misdiagnosed and managed as pneumonia or pneumothorax.

CASE PRESENTATION

We presented a case of a congenital cystic lung malformation, the case demonstrated a 29-day-old boy who presented with respiratory distress. He was initially diagnosed as pneumonia and was given unnecessary antibiotic treatment in another hospital without improvement. Subsequently, the diagnosis of congenital lobar emphysema of the left upper lobe was made on the basis of the clinical and radiologic features. The condition wasn't detected before birth. He underwent a successful left thoracotomy with left upper lobe lobectomy.

CLINICAL DISCUSSION

Congenital Lobar Emphysema poses a challenge in diagnosis. It may mimic other causes of respiratory distress.

CONCLUSION

Congenital Lobar Emphysema requires a high index of clinical and radiological suspicion to make an early diagnosis so that timely treatment will be offered.

摘要

引言与重要性

先天性肺叶气肿是一种罕见的肺部囊性病变,可能被误诊为肺炎或气胸并进行相应治疗。

病例介绍

我们报告了一例先天性肺囊性畸形病例,该病例为一名29日龄男婴,表现为呼吸窘迫。他最初被诊断为肺炎,并在另一家医院接受了不必要的抗生素治疗,但病情并未改善。随后,根据临床和影像学特征诊断为左上叶先天性肺叶气肿。出生前未检测到该病症。他成功接受了左胸切开术及左上叶切除术。

临床讨论

先天性肺叶气肿在诊断方面具有挑战性。它可能与其他导致呼吸窘迫的病因相似。

结论

先天性肺叶气肿需要高度的临床和影像学怀疑指数才能早期诊断,以便及时进行治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aeb/9121231/cc3fbfd5661b/gr1.jpg

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