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Konjenital Lober Amfizem: ki Olgu Sunumu [Respir Case Rep]
Respir Case Rep. 2018; 7(3): 169-172 | DOI: 10.5505/respircase.2018.33154

Konjenital Lober Amfizem: ki Olgu Sunumu

Fatih Meterolu1, Atalay ahin2, Menduh Oru1
1Dicle niversitesi Tp Fakltesi Gs Cerrahisi AD\ Diyarbakir
2Harran niversitesi Tp Fakltesi Gs Cerrahisi AD\ anlurfa

Konjenital lober amfizem; akcierin bir veya daha fazla lobunun hiperekspansiyonu, bunun evredeki normal akcier dokusuna bass ve mediastinal kayma ile karakterli bir respiratuvar distres nedenidir. Yeni doan dneminde solunum skntsna yol amakla birlikte, ender olarak semptomlarn ortaya k altnc aya kadar gecikebilir. Nadir grlen bir hastalktr. Spontan pnmotoraks ile kartrlmas ve ciddi olgularda uygulanan acil cerrahi mdahale ile klinik tablonun dramatik olarak dzelmesi nedeniyle nem tamaktadr. Kliniimizde solunum sknts, sk sk enfeksiyon nedeniyle medikal tedavi alan 4 ve 27 aylk iki erkek olgu yatrld. Her iki olguya da lober amfizem nedeniyle sol st lobektomi yapld. Cerrahi ilem sonras takiplerinde genel durumlarnda ve solunum dzeylerinde ciddi dzelmeler olan iki olguyu sunmay amaladk.

Anahtar Kelimeler: konjenital lober amfizem, lobektomi, solunum sknts.

Congenital Lobar Emphysema: Report of Two Cases

Fatih Meterolu1, Atalay ahin2, Menduh Oru1
1Dicle University, Medical School, Department of Thoracic Surgery, Diyarbaki, Turkey
2Harran University, Medical School, Department of Thoracic Surgery, Sanlurfa\ Turkey

Congenital lobar emphysema is a cause of respiratory distress characterized by hyperexpansion of 1 or more lobes of the lung, compression onto the ipsilateral or contralateral functional pulmonary parenchymas, and a resultant mediastinal shift. The onset of symptoms may be delayed until the age of 6 months, although the disease causes dyspnea in newborns or infancy. It is a rarely seen disease. Awareness is important due to confusion with pneumothorax and the possibility of considerable clinical improvement with early surgical intervention, even in severe cases. Two male patients with failed conservative treatment, 4 and 27 months of age, were hospitalized in this clinic because of respiratory distress and repeated infections. A left upper lobectomy was performed due to lobar emphysema in both patients. The goal of this report was to present the improvement in respiratory function and general condition of 2 patients observed after surgical management.

Keywords: congenital lobar emphysema, lobectomy, dyspnea

Fatih Meterolu, Atalay ahin, Menduh Oru. Congenital Lobar Emphysema: Report of Two Cases. Respir Case Rep. 2018; 7(3): 169-172

Sorumlu Yazar: Fatih Meterolu, Trkiye
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