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本院自开院20多年来X线检查发现新生儿肺囊肿仅3例,其中有两例误诊为先天性胸腹裂孔疝。例1,女,第二胎,33周早产,自然分娩,出生体重1900g。生后呼吸困难,口、鼻周青紫,有明显三凹征。体检:胸廓不对称。双肺呼吸音低,左肺可闻少许湿罗音。腹软,肝肋下2cm,剑突下3cm。临床诊断:早产儿,腹后疝。胸部X战检查右肺大片状致密阴影,右膈面不清。右肺尖及肋膈角区可见少许透亮区。心脏及纵隔左移。拟诊为(1)右侧胸腹裂孔疝(2)肺膨胀不全。生后数小时死亡。尸检报告:(1)右下肺先天性肺囊肿(2)肺膨胀不全(3)纵隔心脏左移。例2,男,第一胎,40周自然分娩。宫内窘迫,羊水Ⅲ°污染。生后窒息,经插管抢救复苏后即出现明显呼吸困难,青紫。体检:左侧胸廓膨隆。心脏
The hospital since the hospital more than 20 years X-ray examination found only 3 cases of neonatal pulmonary cysts, of which two cases were misdiagnosed as congenital thoracoabdominal hiatal hernia. Example 1, female, second child, 33 weeks premature birth, natural childbirth, birth weight 1900g. Difficulty breathing after birth, mouth, bruising nasal weeks, there are obvious signs of three concave. Physical examination: chest asymmetry. Breath sounds low lungs, lungs can smell a little wet rales. Abdominal soft, liver ribs 2cm, xiphoid 3cm. Clinical diagnosis: premature children, abdominal hernia. Chest X-ray examination of the right lung large flaky dense shadow, right diaphragmatic surface unclear. Right apex and costophrenical corner area can see a little translucent area. Left heart and mediastinum. To be diagnosed as (1) right thoracolumbar hiatal hernia (2) lung dilation incomplete. Died a few hours after birth. Autopsy report: (1) lower right lung congenital pulmonary cysts (2) lung dilatation (3) mediastinal heart left. Example 2, male, first child, 40 weeks of natural childbirth. Palace distress, amniotic fluid Ⅲ ° pollution. Asphyxia after birth, after rescue intubation rescue obvious respiratory difficulties, bruising. Physical examination: left thoracic bulging. heart