- 作者：Ghassan Baslaim ; Arif Hussain ; Amjad Kouatli ; Ahmed Jamjoom
- 关键词：13
- 刊名：The Journal of Thoracic and Cardiovascular Surgery
- 出版年：2003
- 出版时间：August 2003
- 年：2003
- 卷：126
- 期：2
- 页码：586-588
- 全文大小：108 K
Method
Seventeen children who underwent pneumonectomy for destroyed lung during a 15-year period were retrospectively analyzed. Long-term results were detected in 13 patients.
Results
Seventeen children underwent pneumonectomy. Five children were female (29.4 % ), and 12 children were male (70.5 % ). The median age of the study group children was 9.1 years (3-16 years). Sputum was the most common presenting symptom (n = 13, 76.4 % ). Bronchiectasis (n = 11), tuberculosis (n = 4), and necrotizing lung disease (n = 2) were the main underlying conditions. Destroyed lung was detected on the left side in 14 children (82.4 % ) and on the right side in 3 children (17.6 % ). Main bronchial stenosis was found in 4 children and mucosal thickening or congestion in 5 children. The median length of hospital stay was 15.5 days. The mortality rate was 11.7 % (n = 2), and the morbidity rate was 23.5 % (n = 4). Follow-up information was available for 13 patients, and this ranged from 1 year to 12 years (median 5.2 years). The respiratory capacity and scoliosis level of the patients were examined.
Conclusions
Although pneumonectomy is considered a difficult procedure in children, its use for destroyed lung resolves complications and improves a patient’s quality of life. In time, the remaining lung expands to compensate for the loss of the removed lung. Children grew and developed normally after pneumonectomy. Patients tend not to have major skeletal deformation as the result of pneumonectomy in the short term.