Medicinski arhiv · 2005
[Congenital lobar emphysema].
СтатьяНазвание и аннотация: Перевод в очереди
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Omerctahić-Dizdarević Aida, Saracević Ediba, Jonuzi Fedzet, Misanović Verica, Anić Dusko, Kalkan Ismeta, Cengić Amra
Аннотация
BACKGROUND: Congenital lobar emphysema is characterized by overinflation of pulmonary lobe and is caused by localised bronchial obstruction. The disease may result in severe respiratory distress in early infancy.
METHODS: Records of children, with congenital lobar emphysema, who were treated at our department between 1997-2003, were reviewed.
RESULTS: Three males, aged 16 days till 1 year, were diagnosticed as congenital lobar emphysema. Presenting symptoms were dyspnea in 2 patients, cyanosis in 2 patients, wheesing in 2 patients, recurrent respiratory tract infection in 2 patients. Chest x rays and computerized tomography scans showed hyperinflation of the affected lobe in all patients. The affected sites were left upper lobe in 2 patients and right upper lobe in 1 patient. All patients underwent lobectomy.
CONCLUSION: It is necessary to suspect on this uncommon anomaly in early infancy. The diagnosis was established by chest x rays and CT scans. Intensive therapy and urgent lobectomy, in severe respiratory distress, are condition for successfully treatment.
METHODS: Records of children, with congenital lobar emphysema, who were treated at our department between 1997-2003, were reviewed.
RESULTS: Three males, aged 16 days till 1 year, were diagnosticed as congenital lobar emphysema. Presenting symptoms were dyspnea in 2 patients, cyanosis in 2 patients, wheesing in 2 patients, recurrent respiratory tract infection in 2 patients. Chest x rays and computerized tomography scans showed hyperinflation of the affected lobe in all patients. The affected sites were left upper lobe in 2 patients and right upper lobe in 1 patient. All patients underwent lobectomy.
CONCLUSION: It is necessary to suspect on this uncommon anomaly in early infancy. The diagnosis was established by chest x rays and CT scans. Intensive therapy and urgent lobectomy, in severe respiratory distress, are condition for successfully treatment.