篇名 | Expandable Congenital Lung Cysts: A Case Report |
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卷期 | 4:2 |
並列篇名 | 可擴張之先天性肺囊腫:一病例報告 |
作者 | 李淑婷 、 林隆煌 、 陳五常 、 那明珠 |
頁次 | 107-112 |
關鍵字 | 先天囊腫性腺瘤樣畸形 、 先天囊腫性肺部疾病 、 先天性肺囊腫 、 Congenital cystic adenomatoid malformation 、 Congenital cystic lung disease 、 Congenital lung cyst |
出刊日期 | 200606 |
先天囊腫性肺部疾病為一系列相關的先天性異常,其中包括先天性肺氣腫,支氣管囊腫,先天囊腫性腺瘤樣畸形及游離肺。其中先天囊腫性腺瘤樣畸形目前被認為是肺間質在妊娠5 到7 週時無法成功的誘發部分胎兒支氣管肺泡的分化所致。我們報告一例男性新生兒在出生後出現呼吸困難,壓力性氣胸,及愈來愈大的肺部囊腫,其臨床診斷為先天囊腫性腺瘤樣畸形。在本文中我們敘述此病例的臨床及影像學上的表現,以及首次在此疾病中敘述可擴大的肺部囊腫。
Congenital cystic lung diseases comprise a spectrum of interrelated abnormalities thatinclude congenital lobar emphysema (CLE), bronchogenic cysts, congenital cystic adenomatoidmalformation (CCAM), and pulmonary sequestration. CCAMis thought to result from a failure ofthe pulmonary mesenchyme to induce normal bronchoalveolar differentiation in a part of the fetallung between the fifth and seventh weeks of gestation. We describe a male newborn whopresented with respiratory distress, tension pneumothorax, and expanding lung cysts afterdelivery; he was clinically diagnosed as having CCAM. We are the first to describe the clinical andimage presentations of expandable lung cysts under ventilation.