Niggemann B, Klettke U, Magdorf K, Wahn U
University Children's Hospital (KAVH), Div. of Paediatric Pneumology and Immunology, Berlin, Germany.
Eur J Pediatr. 1995 May;154(5):413-5. doi: 10.1007/BF02072118.
Two infants with recurrent obstructive symptoms attracted attention because of massive radiologically detected unilateral pulmonary hyperinflation. Further diagnostic procedures including bronchoscopy, revealed a pulmonary tuberculosis with lymph nodes encroaching on the bronchi. Steady improvement of clinical symptoms and hyperinflation was noted under combined antituberculotic therapy including systemic steroids.
Our two cases demonstrate that the differential diagnosis of unilateral pulmonary hyperinflation and wheezing in infancy should consider valvular stenosis by encroaching lymph node due to pulmonary tuberculosis.
两名患有反复阻塞性症状的婴儿因影像学检查发现大量单侧肺过度充气而引起关注。包括支气管镜检查在内的进一步诊断程序显示为肺结核，伴有淋巴结侵犯支气管。在包括全身用类固醇在内的联合抗结核治疗下，临床症状和肺过度充气情况稳步改善。
我们的两个病例表明，婴儿单侧肺过度充气和喘息的鉴别诊断应考虑因肺结核导致的淋巴结侵犯引起的瓣膜狭窄。
