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題名 | 孩童肺芽異常之臨床觀察 |
---|---|
作者姓名(中文) | 陳國華; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷期 | 29:2 民77.03-04 |
頁次 | 頁110-115 |
分類號 | 417.6222 |
關鍵詞 | 肺芽; 孩童; 異常; 臨床; 觀察; |
語文 | 中文(Chinese) |
中文摘要 | 馬偕醫院自民國65年6月至75年7月,10年間共經歷10例肺芽異常的病例,其中2例是先天性腺瘤狀畸形(congenital adenomatoid malformation)、4例支氣管囊腫(bronchogenic cyst)、3例肺隔離囊腫(pulmonary sequestration)和1例無法分類的先天性肺囊腫。女性4例,男性6例;症狀出現年齡從出生到11歲;半數病例在3天大以內發病。接受手術年齡從10天到16歲;5例小於週歲,4例大於5歲。延遲手術主要原因是病人僅有輕微的症狀或症狀全無。手術方式爲對胸腔外及縱隔腔(mediastinum)的支氣管囊腫和肺葉外的肺隔離囊腫採取簡單切除術;對先天性腺瘤狀畸形、肺內支氣管囊腫和肺葉內的肺隔離囊腫採取肺葉切除。10例經電話追蹤,從6個月至7年不等,其發育、運動均與正常兒童無異。本報告目的是在強調這三種先天性異常的胚胎來源和臨床表現的相關性,並強調外科切除是唯一的治療。 |
英文摘要 | From June 1976 to July 1986, 10 patients were operated upon in Mackay Memorial Hospital for lung bud anomalies. Congenital adenomatoid malformation was found in two cases; bronchogenic cyst, in four cases; pulmonary sequestration in three cases, and undifferentiated congenital lung cyst in one case. The four female and six male patients ranged, at ages of observed symptoms from birth to 11 years; five were under three days of age. The age at operation was 10 days to 16 years; 5 were under 1 year of age, and 4 over 5 years of age. Significant delay in operation occurred because of lack of patient symptoms; although in some instances, there was poor awareness of these disease entities. The management for extralobar pulmonary sequestration and bronchogenic cyst located at the extrathorax and mediastinum was simple resection. For congenital adenomatoid malformation, intrapulmonary bronchogenic cyst and intralobar pulmonary sequestration, total lobectomy was done. All the 10 patients are living well now, after from 6 months to 7 years of follow-up. This report emphasizes the close relationship of these lesions in terms of embryology and clinical presentation. Its second purpose is to emphasize surgical excision as the treatment of choice. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。