胸腔病例（三六九）游離肺

10.6666/ClinMed.202008_86(2).0092

孫瑞璘；謝逸安；黃煦晴

游離肺（pulmonary sequestration） ； 肺炎（pneumonia）

臨床醫學月刊

86卷2期（2020 / 08 / 28）

509 - 514

繁體中文

游離肺（pulmonary sequestration）為先天下呼吸道異常的疾病。依游離肺之位置及與臟層肋膜的關係，大致分為葉內游離肺、葉外游離肺及合併游離肺與先天肺部呼吸道畸形的混合病變。臨床表現多元，病患可以無症狀，也可以有發燒、咳嗽、反覆肺部感染，至新生兒的心臟衰竭或呼吸窘迫等表現。最佳影像診斷工具為顯影劑胸腔電腦斷層，可辨別其支配血管，並進行術前評估。有症狀者應接受切除手術；無症狀、游離肺體積小且無併發症的低風險患者，可考慮追蹤觀察。本文為一中年男子因反覆肺炎，於胸部電腦斷層影像發現葉內游離肺，並接受切除手術。

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