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一名2岁儿童的复发性肺炎:先天性大叶性肺气肿的罕见病例。

Recurrent pneumonia in a 2-year-old: A rare case of congenital lobar emphysema.

作者信息

Shaker Kamar, Alomar Khaled, Aldabea Mahmoud, Zwaraa Hanady, Alnwaijie Nashwa, Aldalati Husam

机构信息

Damascus University, University Pediatric Hospital, Syria.

Damascus University, University Pediatric Hospital, Syria.

出版信息

Int J Surg Case Rep. 2024 Sep;122:110074. doi: 10.1016/j.ijscr.2024.110074. Epub 2024 Jul 23.

Abstract

INTRODUCTION AND SIGNIFICANCE

Emphysema is an uncommon but important condition that often appears in the neonatal period. Diagnosis is based on CT, which identifies the affected lung lobe, which is treated with complete surgical resection.

CASE PRESENTATION

We present a case of a child who had been suffering for about a year from recurrent respiratory infections without arriving at a clear and correct diagnosis. He was evaluated by us and diagnosed correctly despite the difficulty of distinguishing it from pneumothorax. The final treatment was surgical removal.

CLINICAL DISCUSSION

Emphysema is considered one of the important conditions that should be considered as a differential diagnosis if there is clear hyperinflated in the pulmonary lobe. The evaluation is mainly done through CT to reach the correct diagnosis and treatment.

CONCLUSION

Congenital lobar emphysema is a rare condition that primarily affects children. The majority of children with CLE experience symptoms and necessitate surgery.

摘要

引言与意义

肺气肿是一种罕见但重要的病症,常在新生儿期出现。诊断基于CT,CT可确定受影响的肺叶,治疗方法是进行完整的手术切除。

病例介绍

我们报告一例患儿,该患儿反复呼吸道感染约一年,一直未得到明确正确的诊断。尽管将其与气胸区分开来存在困难,但经我们评估后仍正确诊断。最终治疗方式为手术切除。

临床讨论

如果肺叶明显过度充气,肺气肿被认为是应作为鉴别诊断考虑的重要病症之一。主要通过CT进行评估以达成正确的诊断和治疗。

结论

先天性肺叶肺气肿是一种主要影响儿童的罕见病症。大多数先天性肺叶肺气肿患儿有症状且需要手术治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4d6/11327477/f4f94decfcae/gr1.jpg

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