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題名 | Clinical and Radiological Manifestations of Pulmonary Sequestration=游離肺之臨床和影像學上之表現 |
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作者 | 王景民; 薛尊仁; 李政宏; 陳昌文; 張漢煜; 賴吾為; 鄭莉莉; | 書刊名 | 胸腔醫學 |
卷期 | 15:4 2000.12[民89.12] |
頁次 | 頁183-188 |
分類號 | 415.46 |
關鍵詞 | 游離肺; 咳血; 水胸; 血胸; 電腦斷層; Pulmonary sequestration; Hemoptysis; Hydrothorax; Hemothorax; Spiral computed tomography; |
語文 | 英文(English) |
中文摘要 | 游離肺是一種少見的先天性肺部異常,它是一種無功能的肺組織而有異常的系統性動脈血流供應。解剖上它可分為(1)肺葉內型:游離肺存在正常的肺葉之內(2)肺葉外型:游離肺在正常的肺葉之外,並有其個別的肋膜包覆。我們醫院11年來經開刀及病理證實共有5名確定病例,其中2例是肺葉外型,3例是肺葉內型。全部肺葉內型。全部肺葉內型病例均血於左下肺葉,其中兩人表現為慢性咳嗽,另一人表現為復發性咳血。此三人之年齡在26-38歲間。2個肺葉外型病人年紀都很輕,一為剛出生,一為13歲。這新生兒以先天性肋膜腔積水來表現,並且在母體內時即曾接受過4次抽胸水;另外那13歲男孩是以血胸來表現。此五位病人有三位在手術前經由電腦斷層攝影已診斷為游離肺。全部病人接受手術後預後均良好。 |
英文摘要 | Pulmonary sequestration is a rare congenital pulmonary disorder defined as an area of dysplastic and non-functioning pulmonary tissue with an anomalous systemic blood supply. In the past 11 years, we have identified 5 cases of pulmonary sequestration in national Cheng Kung University Hospital. Two patients had extralobar sequestration (ELS) and three patients had intralobar sequestration (ILS). All the ILSs were in the left lower lobes. The two patients with ELS were a neonate and a 13-yaear-old. The neonate presented with congenital pleural effusion which required repeated chest tapping, and the 13-year-old boy presented with right hemothorax with chest pain. Among the patients with ILS, 2 suffered from chronic cough and the third one presented with hempotysis. A preoperative diagnosis of pulmonary sequestration was made in three patients after the computerized tomography scan of the chest, and the final diagnosis of these five patients was confirmed by operation and pathological findings. The prognosis after operation was good in all patients. |
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