PubMed Health⌕ Search
Home/Archive/PubMed

PubMed · 6513936

[Lobar emphysema].

U Knoop·M Gharib·H Ewerbeck·K D Ebel
View original source ↗Export metadata ↓

Abstract

The lobes most commonly affected are the left upper and the right middle lobes. The classical sign of respiratory distress is mainly found within the first two months of life. In 14 infants the diagnosis was confirmed by microscopic examination, 13 were treated by surgery and 4 infants, who had associated serious malformations or complications, died. In most cases hypoplastic bronchial cartilage of the concerned bronchi was seen, in some cases a stenosis of the lobar bronchi. It is of great importance to establish the diagnosis as soon as possible. The lobectomy is recommended if the respiratory or cardial failure is worsening despite artificial ventilation.

Explore related subjects

Bronchial DiseasesBronchopulmonary DysplasiaConstriction, PathologicDiagnosis, DifferentialFemaleHumansInfantInfant, NewbornMalePneumonectomyPostoperative ComplicationsPrognosisPulmonary AtelectasisPulmonary EmphysemaPulmonary FibrosisRespiratory Distress Syndrome, NewbornCase ReportsEnglish AbstractJournal Article

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

U Knoop, M Gharib, H Ewerbeck, K D Ebel. 1984. [Lobar emphysema].. https://pubmed.ncbi.nlm.nih.gov/6513936/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed1997

Thoracic sequelae after surgical closure of the patent ductus arteriosus in premature infants.

Thirty-six children (median chronological age 6 years 1 month) who had undergone surgical closure of a patent ductus arteriosus through a left posterolateral thoracotomy in the neonatal period (median gestational age 32 weeks) were investigated prospectively with respect to anatomical and functional changes of the chest. At follow-up examination, residual or recurrent patent ductus arteriosus was not observed. Three patients had chronic bronchial obstruction. Two patients showed pathological musculoskeletal thoracic sequelae that did not require any treatment at the time of follow-up; persistence of immediate postoperative left phrenic palsy (n = 1) and thoracic scoliosis (n = 1). Twenty of the 27 patients in whom chest X-ray was performed had minor radiological skeletal anomalies in the form of rib deformation or fusion related to the thoracotomy, lesions which have a potential to induce thoracic scoliosis. Left shoulder elevation at chest X-ray and isolated left arm dysfunction at clinical examination were not observed. Despite the low incidence of scoliosis and the absence of left arm dysfunction observed at mid-term follow-up in our series, the incidence of minor rib deformations with a potential to induce severe anomalies such as scoliosis should motivate late follow-up examination at adolescence to definitively assess the prevalence of thoracic sequelae after surgical closure of the patent ductus arteriosus in premature infants.

Bronchial Diseases↗