DIAGNOSIS AND MANAGEMENT PROBLEMS IN PATIENTS WITH INFANTILE LOBAR EMPHYSEMA REFERRED TO SHAHID MOHAMMADI HOSPITAL, BANDAR ABBAS, 1994-2004

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BANIHASHEMI S.H.A.D.

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Journal: Hormozgan Medical Journal Year:2005 | Volume:9 | Issue:3 Page(s): 191-196

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Title

DIAGNOSIS AND MANAGEMENT PROBLEMS IN PATIENTS WITH INFANTILE LOBAR EMPHYSEMA REFERRED TO SHAHID MOHAMMADI HOSPITAL, BANDAR ABBAS, 1994-2004

Author(s)

BANIHASHEMI S.H.A.D. | Issue Writer Certificate

Keywords

PULMONARY EMPHYSEMAQ4

CHILDQ2

BANDAR ABBASQ3

Abstract

Introduction: Congenital lobar emphysema (CLE) is rare a rate anomaly of lung development that usually presents in the neonatal period with respiratory distress and pulmonary lobar hyper inflation and may present as a diagnostic and therapeutic dilemma. Methods: In this descriptive study, we reviewed the clinical features and management of 6 patients with (CLE) treated in our department over a period of 13 years, from 1990 to 1993. Blood gas analysis, CX ray, CT of chest and bronchoscopy; if indicated was done. Lobectomy was performed in 5 patients. All information about the patients, diagnosis, treatment and 1 year follow up were collected. Results: Physical examination in all patients showed. Mediastinal shift, decreased breathing sound in the involved lung and also resonance in percussion. The involved lobes were: left upper lobe in 3 patients, R middle lobe in 2 patients and right lower lobe in 1 patient. In all patients, CX ray showed hyperinflation of the involved lobe and herniation to the opposite side and atelectasis of the adjacent lobes. In 2 patients with thachypnea, CT of chest confirmed the diagnosis. Conclusion: Congenital lobar emphysema should be suspected in any infant presenting with breathlessness and a simple CX ray is sufficient to establish the diagnosis in the vast majority of patients. Pneumothorax, tension pneumothorax, hyperinflation of lung due to foreign body aspiration should be in the list of differential diagnosis. In patients presented very early in life and those with severe respiratory symptoms surgery is more indicated.

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APA: Copy

BANIHASHEMI, S.H.A.D.. (2005). DIAGNOSIS AND MANAGEMENT PROBLEMS IN PATIENTS WITH INFANTILE LOBAR EMPHYSEMA REFERRED TO SHAHID MOHAMMADI HOSPITAL, BANDAR ABBAS, 1994-2004. HORMOZGAN MEDICAL JOURNAL, 9(3), 191-196. SID. https://sid.ir/paper/60225/en

Vancouver: Copy

BANIHASHEMI S.H.A.D.. DIAGNOSIS AND MANAGEMENT PROBLEMS IN PATIENTS WITH INFANTILE LOBAR EMPHYSEMA REFERRED TO SHAHID MOHAMMADI HOSPITAL, BANDAR ABBAS, 1994-2004. HORMOZGAN MEDICAL JOURNAL[Internet]. 2005;9(3):191-196. Available from: https://sid.ir/paper/60225/en

IEEE: Copy

S.H.A.D. BANIHASHEMI, “DIAGNOSIS AND MANAGEMENT PROBLEMS IN PATIENTS WITH INFANTILE LOBAR EMPHYSEMA REFERRED TO SHAHID MOHAMMADI HOSPITAL, BANDAR ABBAS, 1994-2004,” HORMOZGAN MEDICAL JOURNAL, vol. 9, no. 3, pp. 191–196, 2005, [Online]. Available: https://sid.ir/paper/60225/en

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