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[儿童期支气管肺系统先天性畸形的外科治疗远期结果]

[The late results of the surgical treatment of congenital anomalies of the bronchopulmonary system in childhood].

作者信息

Mikhaĭlova V, Tsareva M

出版信息

Khirurgiia (Sofiia). 1996;49(3):13-8.

PMID:9011665
Abstract

The long-term results of operative management in a series of 98 children presenting congenital anomalies of the bronchopulmonary system, aged 6 months to 17 years, are studied. Of the total, 3 children (3.1 per cent) are operated for pulmonary sequestration, 25 (25.5 per cent)--for bronchogenic cysts, 19 (19.3 per cent)--for polycystic conditions, 2 (2.0 per cent)--bronchial stenosis, 18 (18.1 per cent)--infantile (congenital) lobar emphysema, and 30 (31 per cent)--bronchiectasia. Postoperative follow-up period--from 6 months to more than ten years. An overall assessment is done of the results on the basis of catamnestic data, objective status, x-ray study, functional examinations, and in isolated cases--CAT and bronchography. PaO2 formalization is documented within a year of the operation. The minute volume values depend on the number of segments resected, with their recovery being quicker in children with bronchogenic cysts polycystosis and congenital lobar emphysema, as compared to the one in bronchiectasia. In 87.8 per cent of children very good long-term results with a complete cure are obtained. The inference is reached that in children pulmonary resections are well tolerated, with ensuing complete functional restoration of the lung.

摘要

对98例年龄在6个月至17岁之间、患有支气管肺系统先天性异常的儿童进行手术治疗的长期结果进行了研究。其中,3例(3.1%)因肺隔离症接受手术,25例(25.5%)因支气管囊肿接受手术,19例(19.3%)因多囊性疾病接受手术,2例(2.0%)因支气管狭窄接受手术,18例(18.1%)因婴儿(先天性)大叶性肺气肿接受手术,30例(31%)因支气管扩张接受手术。术后随访期为6个月至10多年。根据病史资料、客观状况、X线检查、功能检查,以及个别病例的计算机断层扫描(CAT)和支气管造影,对结果进行全面评估。记录术后一年内的动脉血氧分压(PaO2)情况。每分通气量值取决于切除的肺段数量,与支气管扩张患儿相比,支气管囊肿、多囊性疾病和先天性大叶性肺气肿患儿的每分通气量恢复得更快。87.8%的患儿获得了非常好的长期结果,实现了完全治愈。得出的结论是,儿童对肺切除术耐受性良好,术后肺功能可完全恢复。

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