慢性肺不张——儿童早期肺切除术的指征?

H P Hümmer, P Klein, T Zimmermann, R Schück
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引用次数: 0

摘要

1980年至1989年间,我科共69例患儿行肺切除术。其中45例(男孩25例,女孩20例,年龄0-9岁)表现为肺实质无肺区,术前仅76%的患者表现为无肺区。其中支气管畸形(7例)、隔离(6例)、囊肿(6例)、误吸(1例)、肺动脉结扎后脓腔膨出(1例)、上肺叶扭转(1例)、慢性肺炎和/或支气管扩张(14例)、肺气肿伴肺压迫(10例)。总死亡率为4/45。特别针对持续性或复发性肺不张的适应症进行了讨论。
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[Chronic atelectasis--an indication for lung resection in early childhood?].

Between 1980 and 1989, 69 children underwent lung resection in our department. 45 of them (25 boys, 20 girls, age 0-9 years) presented with atelectatic areas of the lung parenchyma, which had been demonstrated preoperatively in only 76%. Resections were performed for bronchial malformations (n = 7), sequestration (6), cysts (6), aspiration (1), pyocele following pulmonary artery ligation (1), upper lobe torsion (1), chronic pneumonia and/or bronchiectasis (14) and lobar emphysema with lung compression (10). The overall mortality was 4/45. Indications are discussed with special reference to the persistent or recurrent atelectasis.

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