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先天性一叶肺气肿是一种且发育畸形。1932年由Nelson首先描述临床症状以来,国外至1980年已报道186例。国内罕见。现将我院收治一例报告如下。患儿,男,27天,因呼吸困难25天,于1985年11月10日入院。第一胎,第一产,胎龄41周自然分娩,无窒息史,出生体重3100g。生后第3天起发现呼吸困难,哭吵后口周发绀,吃奶减少,无发热,呕吐,大小便正常。父母24岁,除妊娠6个月时曾患感冒外,均正常,其母非近亲结婚。体检:体温36.2℃,脉搏140次,呼吸80次,体重3000g。反应可,哭声响,神志清,呼吸急促,鼻翼搧动,口吐泡沫,口周发绀,前囟平,1.5×1.5cm。胸腹式呼吸,三凹症明显,左侧胸廓膨隆,叩诊高清音,呼吸音较右侧为低,两背部吸气末可闻及细湿性罗音。心音于右胸前区为强,规则,无杂音。腹平软,肝右肋下2.5c血,剑突下2cm,质软。脾未及。觅食,
Congenital lobar emphysema is a deformity. Since Nelson first described clinical symptoms by Nelson in 1932, 186 cases were reported abroad by 1980. Domestic rare. Now admitted to our hospital a case report is as follows. Children, male, 27 days, due to breathing difficulties for 25 days, on November 10, 1985 admission. The first child, first birth, gestational age 41 weeks of natural childbirth, no history of asphyxia, birth weight 3100g. Dysphoric dyspnea was found on the third day after birth. The mouth was cyanotic after crying and crying. The nursery was reduced, and no fever, vomiting and urine were normal. Parents 24 years of age, except for 6 months of pregnancy have had a cold, are normal, the mother of non-relatives get married. Physical examination: body temperature 36.2 ℃, pulse 140 times, breathing 80 times, weight 3000g. Response can be, crying, clear consciousness, shortness of breath, nose flap, vomiting bubble, perioral cyanosis, anterior fontanelle, 1.5 × 1.5cm. Thoracoabdominal breathing, three concave obvious, the left thoracic bulging, percussion high-definition sound, the sound of the breath is lower than the right side, the back of the inspiratory can be heard and fine wet rales. Heart sound in the right chest area is strong, rules, no noise. Abdomen soft, liver right rib 2.5c blood, xiphoid 2cm, soft. Spleen not yet. Foraging,