| 篇名 |
Pulmonary Sequestration in Adults 12-year Experience |
| 作者 |
Yeung-Leung Cheng, Hsian-He Hsu, Cheng-Ping Yu, Jane-Yi Hsu, Shih-Chun Lee |
| 卷期/出版年月 |
32卷5期 (1999/10) |
| 頁次 |
213-219 |
| 摘要 |
Pulmonary seqestration is a rare congenital anomaly in which an aberrant artery arising from the systemic system supplies to the nonfunctioning lung tissue. Nine patients with pulmonary seqestration, with a mean age of 31.3 year, were treated at our Hospital from 1985 to 1997. Six patients had symptoms including recurrent pneumonia, chronic chough and chest pain. The other three cases were asymptomatic and the illness was discovered incidentally due to abnormal chest film in two cases and high serum level of carbohydrate antigen 19-9 (CA 19-9)(806.7 U/ml) in the lower lobes (left: 6, right: 3). All cases received surgical intervention which confirmed eight intralobar sequestration and one intermediate sequestration. Lobectomy was performed in all patients. No surgical morbidity or mortality occurred. All patients recovered fully. Pulmonary sequestration should be considered in young adults with recurrent pulmonary infection associated with a cystic lesion in the lower lobe. Imaging survey, including plain films computed tomography, and angiography, can provide valuable diagnostic information about the lesions. However, the surgeon should always be aware of the possibility of uncommon vascular connections during surgery. |
| 關鍵詞 |
pulmonary seqestration, lobectomy, carbohydrate antigen 19-9 |
| 分類 |
Original Articles |
