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首页> 外文期刊>American Journal of Perinatology >Congenital intrapulmonary bronchogenic cyst in the neonate--perinatal management.
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Congenital intrapulmonary bronchogenic cyst in the neonate--perinatal management.

机译：新生儿-围产期管理中的先天性肺内支气管囊肿。

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摘要

Approximately 50% of all congenital lung malformations are pulmonary and mediastinal bronchogenic cysts (BC). Therefore, their diagnosis and management is of clinical importance. Usually asymptomatic in the first months of life, bronchogenic cysts are frequently clinically inapparent even adulthood. Early diagnosis and elective surgery can prevent late complications such as pneumothorax, pulmonary hypertension, and recurrent infections; prognosis after surgery is excellent. If mediastinal shifting is present, fetal thoracocentesis is indicated to prevent cardiovascular insufficiency. We report a case of a prenatally diagnosed intrapulmonary BC of the right lung. Following in utero thoracocentesis of the cyst and transient spontaneous regression postnatal onset of severe clinical symptoms due to rapidly developing hyperinflation and mediastinal shifting within the first days of life required early surgical intervention.
机译：所有先天性肺畸形中约有50％是肺和纵隔支气管囊肿（BC）。因此，它们的诊断和治疗具有临床重要性。通常在生命的头几个月无症状，支气管囊肿在临床上甚至在成年期也常常不明显。早期诊断和择期手术可以预防晚期并发症，如气胸，肺动脉高压和反复感染。手术后预后极好。如果存在纵隔移位，则应进行胎儿胸腔穿刺术以预防心血管功能不全。我们报告了一例产前诊断为右肺的肺内BC。继发于子宫的胸腔穿刺术并在出生后短暂的自发性消退后，由于生命初期迅速发展的过度充气和纵隔移位而导致严重的临床症状，需要早期外科手术干预。

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