论文部分内容阅读
患儿 男,41天。因发热、咳嗽、气喘于1986年12月31日以“支气管肺炎”收入我院儿科。体检:患儿急性重病容,鼻翼煽动,口唇紫钳,三凹征(+),右肺可闻及小水泡音,左肺呼吸音明显减低。胸片提示:左肺未发育,右肺代偿性肺气肿。于元月13日作气管镜检查:左右支气管开口清楚;右支气管粘膜光滑,无异物及赘生物;左支气管细,不能插入。提示:左支气管存在,但是否盲端,尚不能确定。元月20日行支气管造影提示:左侧支气管显影,呈盲端。经抗感染及止咳平喘等治疗后,呼吸平稳。病情稳定,于元月25日出院。诊断:先天性左肺发育不全。
Children male, 41 days. Due to fever, cough, asthma in December 31, 1986 to “bronchial pneumonia” income in our hospital pediatrics. Physical examination: Acute severe illness in children, nasal incitement, lip red clamp, three concave sign (+), the right lung can smell and small blisters sound, left lung breath was significantly reduced. Chest X-ray tips: Left lung is not developed, right lung compensatory emphysema. On January 13 for bronchoscopy: left and right bronchial openings clear; right bronchial mucosa smooth, no foreign body and neoplasms; left bronchus fine, can not be inserted. Tip: the left bronchus exists, but whether the blind end, yet to be determined. On January 20 bronchography prompted: the left bronchial was the blind end. After anti-infective and cough and asthma treatment, breathing stable. In stable condition, he was discharged on January 25. Diagnosis: Congenital left lung hypoplasia.