日本小児外科学会雑誌
Online ISSN : 2187-4247
Print ISSN : 0288-609X
ISSN-L : 0288-609X
先天性肺形成異常 (無形成), 心奇形を伴った食道閉鎖症の2例
高橋 篤松山 四郎鈴木 則夫倉繁 徹昭黒岩 実田端 裕之曽根 克彦長嶋 起久雄長町 幸雄
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1989 年 25 巻 2 号 p. 282-289

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Case one : A 3-day-old girl with birth weight of 2.3kg was admitted for esophageal atresia and ano-rectal malformation. Chest X-ray showed complete opacification of the right lung field. Gastrostomy and cut-buck operation were performed. Inspite of vigorous treatment, she died of respiratory failure associated with septic shoch on 9th day. Autopsy revealed esophageal atresia and right lung agenesis with ectoplastic lung tissue arising from lower esophagus. Case two : A 1-day-old boy with birte weight of 1.9kg was admitted for esophageal atresia and RDS. Gastrostomy and lower esophageal banding were performed immediately. After recovering from RDS, primary anastomosis of the esophagus with division of TEF and removal of the banding tape were succeeded on the 5th day of life. Post operative course was complicated with both respiratory and cardiac failure, but he recovered by intensive treatement including "High Frequency Jet Ventilation". The right pulmonary agenesis was confirmed by lung scintiscanning and CT. He also had ASD, PDA and still have severe GER at 7 months of age.

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© 1989 特定非営利活動法人 日本小児外科学会

この記事はクリエイティブ・コモンズ [表示 - 非営利 - 継承 4.0 国際]ライセンスの下に提供されています。
https://creativecommons.org/licenses/by-nc-sa/4.0/deed.ja
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