成人先天性肺气道畸形一例_Chinese Journal of Respiratory and Critical Care Medicine

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徐志强 , 梁宗安

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先天性肺气道畸形

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临床资料 患者男性, 38 岁。主因“咳嗽, 咯痰, 活动后气促3 年, 加重6 个月”入院。3 年前患者于天气变化受凉感冒后出现咳嗽, 咯少量痰, 自觉发热, 当时未测体温, 无胸
闷、气促、喘息、胸痛、潮热、盗汗。3 年来患者易感冒, 活动后气促, 活动耐量下降, 但无咯血、消瘦、双下肢水肿等, 夜间喜高枕位休息, 曾在当地医院诊为肺结核, 行抗结核治疗7个月症状无好转。6 个月前患者出现持续性咳嗽, 咯少量痰, 活动后气促明显, 无潮热、盗汗、消瘦等, 仍诊断“肺结核”, 予口服异烟肼、利福喷丁等药物治疗3 个月, 症状仍无缓解, 为进一步诊治入我院。患者自15 岁后发现有“杵状指”, 至本次发病期间无特殊变化。否认其他急慢性疾病史。从事工作为废品回收, 无放射线、重金属毒物接触史。吸烟4 年, 20 支/d。家族史无特殊。‥‥‥

Citation： 徐志强,梁宗安. 成人先天性肺气道畸形一例. Chinese Journal of Respiratory and Critical Care Medicine, 2010, 9(2): 202-204. doi: Copy

1.	Clements BS. Congenital malformations of the lungs and airways. In:Taussig LM, Landau LI. Pediatric respiratory medicine. St Louis:Mosby, 1999, 1106-1136.
2.	Ch′in KY, Tang MY. Congenital adenomatoid malformation of one　lobe of a lung with general anasarca. Arch Pathol ( Chic) , 1949, 48 :221-229.
3.	Heling KS, Tennstedt C, Chaoui R. Unusual case of a fetus with　congenital cystic adenomatoid malformation of the lung associated　with trisomy 13. Prenat Diagn, 2003 , 23: 315-318.
4.	Lantuejoul S, Nicholson AG, Sartori G, et al Mucinous cells in type　1 pulmonary congenital cystic adenomatoid malformation as　mucinous bronchioloalveolar carcinoma precursors. Am J Surg　Pathol, 2007 , 31: 961 -969.
5.	Stocker JT, Madewell JE, Drake RM. Congenital cystic adenomatoid　malformation of the lung. Classification and morphologic spectrum.Hum Pathol, 1977, 8: 155 -171.
6.	Stocker JT. Congenital and developmental diseases. In: Pulmonary　pathology, Hammar SP, Ed. 1994, Springer-Verlag, New York, 155 -190.
7.	Zylak CJ, Eyler WR, Spizarny DL, et al. Developmental lung　anomalies in the adult: radiologic-pathologic correlation.Radiographics, 2002, 22: S25 -S43.
8.	Federici S, Domenichelli V, Tani G, et al. Pleuropulmonary blastoma　in congenital cystic adenomatoid malformation: report of a case. Eur　J Pediatr Surg, 2001, 11 : 196-199 .
9.	常占平, 金锦善, 金妍, 等. 成人肺先天性囊性腺瘤样畸形伴发肺癌. 诊断病理学杂志, 2003, 10 : 284-286 .
10.	Kaslovsky RA, Purdy S, Dangman BC, et al. Bronchioloalveolar　carcinoma in a child with congenital cystic adenomatoid　malformation . Chest, 1997, 112: 548 -551.
11.	Benjamin DR, Cahill J. Bronchioloalveolar carcinoma of the lung and　congenital cystic adenomatoid malformation. Am J Clin Pathol,1991, 95: 889-892 .

1. Clements BS. Congenital malformations of the lungs and airways. In:Taussig LM, Landau LI. Pediatric respiratory medicine. St Louis:Mosby, 1999, 1106-1136.
2. Ch′in KY, Tang MY. Congenital adenomatoid malformation of one　lobe of a lung with general anasarca. Arch Pathol ( Chic) , 1949, 48 :221-229.
3. Heling KS, Tennstedt C, Chaoui R. Unusual case of a fetus with　congenital cystic adenomatoid malformation of the lung associated　with trisomy 13. Prenat Diagn, 2003 , 23: 315-318.
4. Lantuejoul S, Nicholson AG, Sartori G, et al Mucinous cells in type　1 pulmonary congenital cystic adenomatoid malformation as　mucinous bronchioloalveolar carcinoma precursors. Am J Surg　Pathol, 2007 , 31: 961 -969.
5. Stocker JT, Madewell JE, Drake RM. Congenital cystic adenomatoid　malformation of the lung. Classification and morphologic spectrum.Hum Pathol, 1977, 8: 155 -171.
6. Stocker JT. Congenital and developmental diseases. In: Pulmonary　pathology, Hammar SP, Ed. 1994, Springer-Verlag, New York, 155 -190.
7. Zylak CJ, Eyler WR, Spizarny DL, et al. Developmental lung　anomalies in the adult: radiologic-pathologic correlation.Radiographics, 2002, 22: S25 -S43.
8. Federici S, Domenichelli V, Tani G, et al. Pleuropulmonary blastoma　in congenital cystic adenomatoid malformation: report of a case. Eur　J Pediatr Surg, 2001, 11 : 196-199 .
9. 常占平, 金锦善, 金妍, 等. 成人肺先天性囊性腺瘤样畸形伴发肺癌. 诊断病理学杂志, 2003, 10 : 284-286 .
10. Kaslovsky RA, Purdy S, Dangman BC, et al. Bronchioloalveolar　carcinoma in a child with congenital cystic adenomatoid　malformation . Chest, 1997, 112: 548 -551.
11. Benjamin DR, Cahill J. Bronchioloalveolar carcinoma of the lung and　congenital cystic adenomatoid malformation. Am J Clin Pathol,1991, 95: 889-892 .

Chinese Journal of Respiratory and Critical Care Medicine

成人先天性肺气道畸形一例

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