Lu Ling, Hu Sujuan, Wang Gaoyan, Jin Rong, Guan Renzheng, Cui Fengjing, Qu Zhenghai, Liu Dongyun
Department of Pediatrics, The Affiliated Hospital of Qingdao University, Qingdao 266003, China.
Asian Biomed (Res Rev News). 2023 Oct 26;17(5):244-248. doi: 10.2478/abm-2023-0066. eCollection 2023 Oct.
Congenital pulmonary hypoplasia (CPH) is a rare pulmonary disease featured by incomplete development of pulmonary tissues. Its diagnosis is still a challenge as patients are usually misdiagnosed as atelectasis.
A female neonate was admitted to our hospital due to post-birth jaundice for 12 hrs. Physical examination showed accelerated breathing. There was no respiratory sound in the left lung. Chest film indicated decline of lucency in the left lung. Chest CT scan indicated absence of left lung and primary bronchus of the left lung. The boundary between left mediastinum was not clearly displayed. Three-dimensional CT scan indicated absence of left lung and left principal bronchus. Cardiac ultrasonography confirmed congenital heart disease. She showed ectopic kidney. Finally, she was diagnosed with CPH concurrent with congenital heart disease and ectopic kidney.
On 17-month follow-up visit, the patient is still survived, but she presents with obstruction in ventilation function.
先天性肺发育不全（CPH）是一种罕见的肺部疾病，其特征为肺组织发育不完全。由于患者通常被误诊为肺不张，其诊断仍然是一项挑战。
一名女性新生儿因出生后黄疸12小时入院。体格检查显示呼吸急促。左肺未闻及呼吸音。胸部X线片显示左肺透亮度降低。胸部CT扫描显示左肺及左肺主支气管缺如。左纵隔边界显示不清。三维CT扫描显示左肺及左主支气管缺如。心脏超声检查确诊为先天性心脏病。她还患有异位肾。最终，她被诊断为先天性肺发育不全并发先天性心脏病和异位肾。
在17个月的随访中，患者仍然存活，但存在通气功能障碍。
