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首页> 外文期刊>The journal of maternal-fetal & neonatal medicine >Diffuse congenital cystic lung disease with spontaneous regression.
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Diffuse congenital cystic lung disease with spontaneous regression.

机译:弥漫性先天性囊性肺疾病伴自发消退。

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Congenital pulmonary cystic lesions are rare and may present in a variety of clinical manifestations. The frequency of this finding in the neonatal period is unknown, and many patients may be asymptomatic and diagnosed in later life , The occurrence of pulmonary cystic lesions associated with severe respiratory distress, however, may be quite difficult to manage clinically., particularly if associated with significant pulmonary hypertension.Congenital cystic lesions of the lung parenchyma may vary in aspect, location, clinical manifestations, and prognosis, according to their embryonic origins. In addition to the classification of the type of cystic lesion, it is essential to distinguish congenital from acquired cysts, such as pneumatoceles of staphylococcal pneumonia or cysts from histiocytosis X . Therapy of cystic malformations is essentially surgical, even if they are asymptomatic at the time of diagnosis, but timing for surgical resection may be dependent on the extent and clinical impact of the cysts ,Congenital cystic malformations diagnosed pre-natally may disappear spontaneously during pregnancy , and there is also a recent description of postnatal regression of localized congenital cystic adenomatoid malformation in a premature infant . We describe herein an interesting case of diffuse congenital cystic lung disease in a newborn infant with spontaneous regression, emphasizing the need for a careful approach in some instances.
机译:先天性肺囊性病变很少见,可能以多种临床表现出现。在新生儿期发现此病的频率未知,许多患者可能没有症状并在以后的生活中被诊断出。但是,与严重呼吸窘迫相关的肺囊性病变的发生可能在临床上很难处理,特别是如果与肺实质的先天性囊性病变根据其胚胎起源可能在外观,位置,临床表现和预后方面有所不同。除了对囊性病变的类型进行分类之外,还必须将先天性与获得性囊肿(例如葡萄球菌性肺炎的肺膨出或组织细胞增多症X的囊肿)区分开。囊性畸形的治疗基本上是外科手术,即使在诊断时无症状,但手术切除的时机可能取决于囊肿的程度和临床影响,产前诊断出的先天性囊性畸形在怀孕期间可能会自发消失,并且还有最近的关于早产儿局限性先天性囊性腺瘤畸形的产后消退的描述。我们在本文中描述了新生儿自发性弥漫性先天性囊性肺部疾病的有趣案例,强调在某些情况下需要采取谨慎的方法。

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