Brandesky G
Prog Pediatr Surg. 1977;10:267-76.
We have found that following lung resection in childhood, one-third of the patients followed-up at least 10 years postoperatively presented mainly minor complaints. Compared with follow-up examinations about 8 years age [4], findings had changed only in two bronchiectasis patients. In both cases a moderate exertion dyspnea had occured. Although pulmonary function tests still showed normal values, the radiologic findings according to residual bronchiectasis had increased. Altogether, pulmonary function tests, however, sometimes show a considerable interference with lung ventilation, which seems to be astonishingly well compensated in childhood. They should not be neglected, however, with regard to strains and physiological changes in later life. Therefore, the indications for pulmonary resection in childhood have to be evaluated very carefully and the extent of the resection should be kept as small as possible.
我们发现，儿童期肺切除术后，三分之一的患者术后至少随访10年，主要表现为轻微不适。与约8年前的随访检查相比[4]，仅2例支气管扩张患者的情况发生了变化。在这两例患者中，均出现了中度运动性呼吸困难。尽管肺功能测试仍显示正常数值，但根据残留支气管扩张情况的影像学表现有所加重。然而，总体而言，肺功能测试有时显示对肺通气有相当大的干扰，而这在儿童期似乎得到了惊人良好的代偿。不过，考虑到日后生活中的压力和生理变化，肺功能测试不应被忽视。因此，儿童期肺切除的指征必须非常谨慎地评估，切除范围应尽可能小。
