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先天性单侧肺发育不全女性的妊娠管理与结局:一例报告

Pregnancy management and outcome in a woman with congenital unilateral lung agenesis: A case report.

作者信息

Angras Kajal, Charles Rachelle, Hatch Cherise, Movva Vani

机构信息

Division of Maternal-Fetal Medicine, Women's Health Service Line, Geisinger, Danville, PA, USA.

Geisinger Commonwealth School of Medicine, Scranton, PA, USA.

出版信息

Lung India. 2022 Jul-Aug;39(4):368-370. doi: 10.4103/lungindia.lungindia_192_22.

DOI:10.4103/lungindia.lungindia_192_22
PMID:35848670
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9390298/
Abstract

BACKGROUND

Congenital unilateral lung agenesis is a rare condition in which there is complete absence of one lung, in addition to the associated bronchus and pulmonary vasculature. It can be an isolated finding or present in conjunction with cardiac, gastrointestinal, genitourinary and skeletal malformations. Due to the increasing physiological demands on the body during gestation and parturition, this condition poses significant risks in individuals with this condition.

CASE

A 26-year-old G1P0 with known right lung agenesis was managed with a multidisciplinary approach by obstetrics, maternal-foetal medicine, pulmonology and cardiology specialists. The patient subsequently had an uncomplicated pregnancy and vaginal delivery.

CONCLUSION

Multidisciplinary care led to an optimal pregnancy outcome in a woman with congenital unilateral lung agenesis. Women with this condition with normal baseline function have a good prognosis in pregnancy.

摘要

背景

先天性单侧肺不发育是一种罕见的病症,即一侧肺、相关支气管及肺血管完全缺失。它可以是孤立性发现,也可与心脏、胃肠道、泌尿生殖系统及骨骼畸形同时存在。由于妊娠期和分娩期身体对生理需求的增加,这种病症给患有该病症的个体带来重大风险。

病例

一名26岁、孕1产0且已知右肺不发育的孕妇,由产科、母胎医学、肺病学和心脏病学专家采用多学科方法进行管理。该患者随后顺利妊娠并经阴道分娩。

结论

多学科护理使一名患有先天性单侧肺不发育的女性获得了最佳妊娠结局。基线功能正常的患有这种病症的女性妊娠预后良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a330/9390298/46da3ffa9572/LI-39-368-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a330/9390298/0571521d631f/LI-39-368-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a330/9390298/46da3ffa9572/LI-39-368-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a330/9390298/0571521d631f/LI-39-368-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a330/9390298/46da3ffa9572/LI-39-368-g002.jpg

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本文引用的文献

1
Physiological changes in pregnancy.孕期的生理变化。
Cardiovasc J Afr. 2016 Mar-Apr;27(2):89-94. doi: 10.5830/CVJA-2016-021.
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Pregnancy with unilateral lung agenesis.单侧肺发育不全妊娠
Acta Obstet Gynecol Scand. 2000 Oct;79(10):896-7.