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題名 | Congenital Cystic Adenomatoid Malformation: Report of Four Cases=先天性肺部囊性腺瘤狀畸形:四病例報告 |
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作者 | 曾堯麟; 吳明和; 林木源; 陳芬芬; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 33:2 民89.03-04 |
頁次 | 頁77-84 |
分類號 | 416.224 |
關鍵詞 | 先天性肺部囊性腺瘤狀畸形; Congenital cystic adenomatoid malformation; Lobectomy; Lung; |
語文 | 英文(English) |
中文摘要 | 自1994年2月至1997年4月,本院總共經歷四例先天性肺部囊性腺瘤狀畸形的病患,各以不同的臨床症狀來表現。三例女性一例男性。三例為新生兒,一例三歲半。新生兒均以呼吸窘迫來表現,其中一例並伴隨有胎兒水腫。小孩則以持續存在之肺病灶來表現。三新生兒接受緊急左下肺葉切除手術,小孩則接受切除右下肺葉。病理報告顯示第二型一例,三例第三型。伴有胎兒水腫的新生兒在術後因併發敗血症無法有效控制,而於術後第二十天死亡。其他三例病患則順利出院。對於囊性腺瘤狀畸形的病患,及時且正確的診斷與治療將可得到很好的癒後。然而部份合併有縱隔腔移位、肺發育不全及胎兒水腫之新生兒,其癒後則相當差。 |
英文摘要 | From January 1994 to April1997, four patients with congenital cystic adenomatoid malformation (CCAM) underwent surgical treatment in the Department of Surgery, National Cheng Kung University hospital. Three patients were newborns and the other one is a three and a half years old girl. One of them had associated with hydrops fetalis. Two newborns presented with respiratory distress. Chest roentgenography of them revealed solid mass on the left lower lung with severe mediastinal shift. One child presented with unresolved pneumonic patch on the right lower lung. Her computed tomography (CT) revealed multiple cystic lesions in the lower lobe of right lung. Chest film of the fourth patient revealed a lesion with multiple tiny cysts on the left lower lobe. Three patients survived after the surgical intervention. They were well in the follow-up of more than one and a half years. The patient associated with hydrops fetalis died of sepsis on the 20th postoperative day. The surgical procedures consisted of three left lower lobectomies and one right lower lobectomy. Pathological examination of the resected specimens confirmed CCAM, one type II and three type III. Prompt diagnosis and treatment of patients with CCAM provided good results. |
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