一名42岁男性患者，未经治疗的肺隔离症伴反复重叠感染——支持慢性阻塞性肺疾病的发展。
Untreated pulmonary sequestration with recurrent superinfection -supporting COPD development in a 42 year old male patient.
作者信息
Leitner Maximilian, Kühnle Jeannine L, Ecker Petra, Khrystenko Tetiana, Tränkenschuh Wolfgang, Bals Robert, Lepper Philipp M, Langer Frank
机构信息
Dept. of Internal Medicine V - Pneumology, Allergology, and Intensive Care Medicine; University Hospital and University of Saarland, Homburg, Germany.
Dept. of Thoracic and Cardiovascular Surgery, Saarland University Medical Center, Homburg/Saar, Germany.
出版信息
Multidiscip Respir Med. 2024 Aug 9;19(1):953. doi: 10.5826/mrm.2024.953.
BACKGROUND
Pulmonary sequestration is a congenital malformation in which nonfunctional lung tissue develops without connection to the bronchial system. The main complication is the occurrence of recurrent pneumonia.
CASE PRESENTATION
We describe the case of a patient who was incidentally diagnosed with PS as part of the diagnostic algorithm for community-acquired pneumonia. Due to the relatively late diagnosis, the recurrent bronchopulmonary was conducive to the development of COPD and pulmonary emphysema. For prognostic reasons, surgical resection was performed by posterolateral thoracotomy.
CONCLUSIONS
Although cigarette smoking is the main risk factor for developing COPD, recurring lung infections may have a synergistic effect. Sometimes recurrent infections are caused by a congenital malformation. Especially in adults who have had recurrent pneumonia since childhood.
背景
肺隔离症是一种先天性畸形，其中无功能的肺组织发育且与支气管系统无连接。主要并发症是反复发生肺炎。
病例报告
我们描述了一例患者，该患者作为社区获得性肺炎诊断流程的一部分被偶然诊断为肺隔离症。由于诊断相对较晚，反复的支气管肺部疾病有利于慢性阻塞性肺疾病（COPD）和肺气肿的发展。出于预后原因，通过后外侧开胸进行了手术切除。
结论
虽然吸烟是患COPD的主要危险因素，但反复的肺部感染可能具有协同作用。有时反复感染是由先天性畸形引起的。尤其是自幼就反复发生肺炎的成年人。
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