婴儿支气管源性囊肿的临床和组织病理学特征。

Current Health Sciences Journal Pub Date : 2022-01-01 Epub Date: 2022-03-31 DOI:10.12865/CHSJ.48.01.20
Cristina Singer, Simona Coşoveanu, Ileana Petrescu, Radu Spătaru, Ovidiu Ciobanu, Gindrovel Dumitra, Maria Singer, Daniela Neagoe, Mihaela Popescu
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引用次数: 2

摘要

克拉约瓦县临床急救医院儿科第二门诊收治1例男婴,1个月大,体重4000克,仅母乳喂养,无病理史。入院时临床表现:发热38.7℃,口周发绀,痉挛性咳嗽,呼气呼吸困难,肋间缩回,呼吸急促,右肺区肌下啰音。胸部x线片显示右侧肺门周围中区肺炎征象。给予抗生素、HHC、抗热药治疗,进展良好。当婴儿处于一般状态,无疾病症状时,对照x线片显示右侧中叶水平有囊性形成。肺部CT示右肺空腔病变,直径约40mm,内有间隔及含气量。婴儿被紧急转移到布加勒斯特的玛丽居里医院,在那里通过外科手术切除了囊肿。解剖病理检查显示为支气管源性囊肿。手术后的进展是有利的。
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Bronchogenic Cyst in Infants-Clinical and Histopathological Features.

A male infant, one month old, weight 4000 g, breastfed only, no pathological history, was admitted to the 2nd Pediatric Clinic, Clinical Emergency County Hospital in Craiova with fever and cough. Clinical findings when he was admitted: fever 38.7°C, perioral cyanosis, spastic cough, expiratory dyspnea, intercostal retraction, polypnea, subcrepitant rales in the right lung area. The chest x-ray revealed pneumonia aspect in the right middle perihilar region. He was administered antibiotic treatment, HHC, antithermics, with a favorable evolution. The control x-ray, when the infant was in a fair general state, with no disease symptomatology, pointed out a cystic formation at the level of the right middle lobe. The pulmonary CT revealed cavitary lesion, with a diameter of about 40mm in the right lung, and with the presence of septa to the interior and air content. The infant was urgently transferred to Marie Curie Hospital in Bucharest, where the cyst formation was removed through a surgical procedure. The anatomo-pathological examination revealed a bronchogenic cyst. The evolution was favorable after the surgical procedure.

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