胸膜异位胃黏膜1例  

Case report of pleural ectopic gastric mucosa

作　　者：付慧聪 陆小霞 Fu Huicong;Lu Xiaoxia(Department of Respiratory Medicine,Wuhan Children′s Hospital(Wuhan Maternal and Child Health Hospital),Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430014,China)

机构地区：[1]华中科技大学同济医学院附属武汉儿童医院(武汉市妇幼保健院)呼吸内科,武汉430014

出　　处：《中华实用儿科临床杂志》2022年第13期1032-1033,共2页Chinese Journal of Applied Clinical Pediatrics

摘　　要：对2020年5月华中科技大学同济医学院附属武汉儿童医院收治的1例胸腔先天性胃黏膜异位并感染患儿的临床资料进行回顾性分析。患儿,女,1个月27 d时因"喉中痰响伴轻咳1月余"就诊,完善胸膜活检示送检组织(左胸膜组织)镜下为消化道黏膜组织,形态似胃黏膜,考虑胸膜胃黏膜异位,患儿病情好转后出院,出院24 d后因"咯血1次"返院,后行胸腔闭式引流术+肺叶部分切除术+胸腔镜下纵隔病损切除术+胸腔镜中转开胸探查术,术中左侧胸膜顶可见胃黏膜样组织。本研究为国内首例儿童胸膜异位胃黏膜病例,提示对存在咳嗽、咯血等表现的患儿,必要时行胸部探查术,以尽早明确诊断。The clinical data of a child with congenital ectopic gastric mucosa and infections admitted to Wuhan Children′s Hospital,Tongji Medical College,Huazhong University of Science and Technology in May 2020 were analyzed retrospectively.The child was a female who presented to the doctor with"phlegm in the throat with mild cough for more than 1 month"at the age of 1 month and 27 days.The pleural biopsy showed that the gastrointestinal mucosa tissue submitted for examination resembled the gastric mucosa under the microscope.The patient was diagnosed with pleural ectopic gastric mucosa.The child was discharged after her conditions improved.Twenty four days after the discharge,she returned to the hospital due to hemoptysis once.Closed thoracic drainage,partial lobectomy,thoracoscopic resection of mediastinal lesions and thoracoscopic conversion were then performed.In chest exploration,gastric mucosa-like tissue was seen on the top of the left pleura.The first case of pediatric pleural ectopic gastric mucosa in China was analyzed in this study.The results suggested that chest exploration should be performed on children with cough and hemoptysis if necessary to confirm the diagnosis as soon as possible.

关 键 词：异位胃黏膜 质子泵抑制剂 儿童 

分 类 号：R726.5[医药卫生—儿科]