生後６カ月児に発症した先天性肺葉性肺気腫に対する肺葉切除術の１例

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  • A RESECTED CASE OF CONGENITAL LOBAR EMPHYSEMA IN A 6-MONTH-OLD BOY

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Approximately half the patients with congenital lobar emphysema present with severe respiratory distress within the first month of life, and 5- to 6-month-old patients are comparatively rare.<br> A 6-month-old boy with a 2-month-long history of stridor was admitted to the hospital because of an abnormal chest finding detected at another hospital. On admission, he showed mild growth retardation, and had inspiratory retraction and stridor. Chest CT scan revealed hyperlucency of the right middle pulmonary lobe and mediastinal shift to the contralateral side. Bronchoscopy showed relative narrowing of the right middle bronchus. Right middle lobectomy through anterio-lateral thoracotomy was perfor-med because of persistent serious respiratory symptoms. The postoperative course was uneventful and the patient was discharged on the 13th hospital day. Histological examination of the resected pulmonary lobe showed emphysema, but its mechanism was unknown.

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