- 期刊
Neonatal Pleural Effusion Caused by Extralobar Pulmonary Sequestration: A Case Report
肺葉外游離肺合併肋膜積水
摘要
一位懷孕週數38週經剖腹產生下出生體重2810公克的男嬰，於出生後發生呼吸迥迫、全身發紺之情況，經他院醫師緊急氣管內插管後轉送至本院新生兒加護中心做進一步處理與治療。胸部放射攝影檢查發現左肺葉有一巨大陰影，經胸部超音波檢查發現是肋膜積水，經胸管引流出大量肋膜積液，此肋膜積液經生化檢驗為乳糜胸。胸管引流肋膜積水後病患情況明顯改善。因大量肋膜積水持續產生，於是安排胸部電腦斷層檢查，顯示肋膜積水及不正常肺部血管組織，懷疑是游離肺。經進一步胸部核磁共振檢查發現為一罕見的肺葉外游離肺。經手術切除游離肺並將此不正常肺部血管組織送病理切片後亦證實是肺葉外游離肺。病患於術後胸部超音波追蹤未再有肋膜積水之情況，病患於住院24日後出院。經由這個病例的經驗，我們建議對於任何有先天性肋膜積水的新生兒，應該將游離肺列入鑑別診斷中。
並列摘要
Neonatal pleural effusion caused by extralobar pulmonary sequestration was uncommon. In our case, a male neonate suffered from respiratory distress and cyanosis after birth. Chest radiogram and sonogram demonstrated large amount of pleural effusion over the left lung field. Thoracentesis was done and chylothorax was recognized. Pleural effusion was persisted although our management. , Subsequent chest computed tomography and MR angiography made the diagnosis of extralobar pulmonary sequestration. After removal of the sequestrated lung, his pleural effusion was subsided. Pleural effusion associated with extralobar pulmonary sequestration may be fatal and should be included in the differential diagnosis of neonatal pleural effusion.
延伸閱讀
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