临床误诊误治Issue(10)：46-48,3.DOI:10.3969/j.issn.1002-3429.2015.10.014
肺隔离症误诊为肺脓肿一例并文献复习
One Case of Pulmonary Sequestration Misdiagnosed as Pulmonary Abscess:a Case Report and Literature Review
摘要
Abstract
Objective To improve the correct diagnosis of pulmonary sequestration ( PS) in order to reduce misdiag-nosis and missed diagnosis rates. Methods Clinical date of one case of pulmonary sequestration misdiagnosed as pulmonary abscess was retrospectively analyzed and relevant references about pulmonary sequestration were reviewed. Results The 43-years old male patient was admitted for cough, expectoration and fever. CT scanning showed a hollow hole in the lower left lung with liquid and the patient responded to anti-infection therapy for lung abscess. A month later, CT scanning showed a branch of pulmonary artery entered lower left lung and the abscess was not absorbed due to pathological changes in the lungs. A revised diagnosis was PS, which was confirmed by postoperative pathological test. Conclusion Because of the non-specific clinical manifestations of pulmonary sequestration, the disease tends to easily misdiagnosed or missed diagnosed especially for those who has repeated lung infection and whose lesion will not be absorbed after anti-infection therapy and PS should be considered in young patients whose lesion is in the left lower lung. The best inspection method is enhanced CT scan, which can clearly show the lesions characteristic of pulmonary sequestration.关键词
支气管肺隔离症/误诊/肺脓肿/诊断/治疗Key words
Bronchopulmonary sequestration/Misdiagnosis/Lung abscess/Diagnosis/Treatment分类
医药卫生引用本文复制引用
王琳琳,周锦桃..肺隔离症误诊为肺脓肿一例并文献复习[J].临床误诊误治,2015,(10):46-48,3.基金项目
苏州市2012年度科技发展计划项目( SYSD2012032) （ SYSD2012032）
