摘要
患儿,男,4月龄。因咳嗽伴间断喘息37d入院,先在本院重症监护病房诊治,后转入胸外科。入院前曾间断应用多种抗生素,效果不佳。X线透视时发现双侧肺部密度不均匀及纵隔摆动,怀疑异物吸入。血常规无异常。胸片及CT增强(气管重建)显示:左肺透亮度增加,气管隆突下可见囊性占位,大小约2.0cm×2.0cm×1.8cm,考虑为支气管囊肿,压迫左主支气管致左肺阻塞性肺气肿。电子支气管镜检查:气管支气管内膜炎症,左支气管变形狭窄,通气不良,考虑为管外压迫。超声心动图经胸图像极不清晰。与家长协商后行手术切除囊肿。
出处
《中华小儿外科杂志》
CSCD
北大核心
2007年第4期192-192,共1页
Chinese Journal of Pediatric Surgery
参考文献4
-
1Kawase Y, Takahashi M, Takemura H, et al. Surgical treatment of a bronchogenic cyst in theinteratrial septum. Ann Thorac Surg, 2002,74 :1695-1697.
-
2Kobza R, Oechslin E, Jenni R. An intrapericardial bronchogenic cyst. Interactive Cardiovascular and Thoracic Surgery,2003,2 :279-280.
-
3Endo C, Imai T, Nakagawa H, et al. Bronchioloalveolar carcinoma arising in a bronchogenic cyst. Ann Thorac Surg,2000,69:933-935.
-
4Hedayati N,Cai DX, McHenry CR. Subdi-aphragmatic bronchogenic cyst masquera-ding as an" adrenal incidentaloma". J Gastrointest Surg,2003,7:802-804.
同被引文献18
-
1李明川,李毅海,丁素春,姜秀良.二氧化碳气腹对全身麻醉下肺萎陷的影响[J].中国内镜杂志,2008,14(12):1263-1264. 被引量:9
-
2LICKER M, De PERROT M, SPILIOPOULOS A. Risk factors for acute lung injury after thoracic surgery for lung cancer[J]. Anesth Analg, 2003,97 (6) : 1558-1565.
-
3AMATO MB, BARBAS CS, MEDEIROS DM, et al. Effect of a protective-ventilation stragegy on mortality in the acute respiratory distress syndrome[J]. N Engl J Med, 1998,338 (6) :347-354.
-
4WRIGGE H,UHLIG U,ZINSERLING J,et al. The effects of different ventilatory settings on pulmonary and systemic inflammatory responses during major surgery [J]. Anesth Analg,2004,98(3) : 775-781.
-
5TAKEUCHI M, GODDON S, DOLHNIKOFF M, et al. Set positive end-expiratory pressure during protective ventilation affects lung injury[J]. Anesthesiology, 2002,97 (3) : 682-692.
-
6PRUSZKOWSKI O, DALIBON N, MOUTAFIS M, et al. Effects of propofol vs sevoflurane on arterial oxygenation during one2lung ventilation[J]. Br J Anaesth, 2007,98 ( 4 ) : 539 -544.
-
7FRACICA PJ, KNAPP MJ, PIANTADOSI CA, et al. R,zsponses of baboons to prolonged hyperoxia:physiology and qualitative pathology [J]. Appl Physiol, 1991,71 (6) : 2352- 2362.
-
8SLINGER PD. Acute lung injury after pulmonary resection: more pieces of the puzzle[J]. Anesth Analg, 2003, 97 (6): 1555-1557.
-
9DUBNIKS M, PERSSON J, GRANDE PO. Plasma volume expansion of 5% albumin,4%gelatin,6% HES 130/0.4,and normal saline under increased microvascular permeability in the rat[J] Intensive Care Med,2007,33(2) :293-199.
-
10LOWSON SM. Inhalod alternatives to nitric oxide [J]. Crit Care Med, 2005,33 (33) : 188-195.
-
1康忠庆,石跃华.局限性阻塞性肺气肿对中心型肺癌的诊断价值[J].泸州医学院学报,1993,16(4):282-284.
-
2李利华.经电子支气管镜诊断肺癌84例临床分析[J].河南医学研究,2011,20(2):148-150. 被引量:1
-
3张晓东.电子支气管镜检查在肺癌诊断中的应用[J].临床医药文献电子杂志,2014,1(18):2617-2617. 被引量:3
-
4黄翠敏,陈文爱,李效荣.老年肺癌与青年肺癌临床对比分析[J].济宁医学院学报,1996,19(1):53-54.
-
5卢伟贤,王朝加.中央型肺癌20例胸片误诊分析[J].浙江临床医学,2006,8(9):988-988.
-
6刘立义.电子支气管镜在鼻咽癌诊断中的应用[J].中国内镜杂志,2001,7(3):71-72. 被引量:2
-
7米娜瓦尔,阿不力米提,陈颖,邬超,杨晓红.233例肺癌支气管镜诊断结果分析[J].新疆医学,2008,38(10):96-98.
-
8夏学丽.心理干预疗法对老年患者电子支气管镜检查的作用[J].齐鲁护理杂志,2008,14(6):90-91. 被引量:2
-
9杨娟,张金松.经电子支气管镜活检和/或刷检诊断肺癌的临床研究[J].临床肺科杂志,2009,14(6):715-716. 被引量:12
-
10黄小艳,余进进,潘敏,杨文霞,任峰.3-溴丙酮酸对人宫颈癌HeLa细胞增殖的抑制作用[J].现代肿瘤医学,2012,20(5):921-924. 被引量:4