儿童肺隔离症：25年经验总结

Pulmonary sequestration in children: a twenty-five year experience.

作者信息

Buntain W L, Woolley M M, Mahour G H, Isaacs H, Payne V

出版信息

Surgery. 1977 Apr;81(4):413-20.

Abstract

Pulmonary sequestration occurs when some disturbance produces a cystic mass of nonfunctioning lung tissue which lacks normal communication with the tracheobronchial tree. In most cases the sequestered pulmonary tissue receives its blood supply from anomalous systemic vessels. This paper considers 15 children, 11 boys and four girls, ranging in age from one day to 14 years, with ten extralobar sequestrations and five intralobar pulmonary sequestrations. Although roentgenographic examination of the chest may suggest the diagnosis, conclusive diagnosis can only be obtained by arteriography and/or surgical exploration. Arteriography is strongly advocated in all cases, not only for its diagnostic value, but for its preoperative localization of the aberrant blood vessels that are the major technical concern to the surgeon.

摘要

肺隔离症是指某些干扰因素导致形成一个无功能的肺组织囊性肿块，该肿块与气管支气管树缺乏正常连通。在大多数情况下，隔离的肺组织由异常的体循环血管供血。本文研究了15名儿童，其中11名男孩和4名女孩，年龄从1天至14岁，有10例叶外型肺隔离症和5例叶内型肺隔离症。虽然胸部X线检查可能提示诊断，但只有通过动脉造影和/或手术探查才能获得确切诊断。强烈建议对所有病例进行动脉造影，这不仅是因为其诊断价值，还因为它能在术前定位异常血管，而异常血管是外科医生主要关注的技术问题。