Putian 10-year-old girl has fever for 9 days, pneumonia causes the disappearance of right lung

"The child's lung is gone What disease is it?" On August 29, Ms Huang of Putian said that the child may have a congenital lack of right lung During the period when the reporter took them to seek medical treatment, doctors from other provinces thought that the child might have lung tumor after seeing the child's chest film What is the condition? In the end, the answer given by pediatric respiratory experts in our province is beyond everyone's expectation: pneumonia! The 10-year-old girl's right lung "disappeared" to visit Ms Huang's daughter Shanshan, who was only 10 years old A few days ago, she began to have a cold Later, she coughed incessantly and had recurrent fever Ms Huang said that when her daughter had the highest fever, it reached 39.7 ℃, and the situation did not improve much after nine days in hospital Later, through CT, the doctor found that the child's right lung was missing Some local doctors suspect that they have congenital lung deficiency, some suspect that they have a bad disease, but there is no accurate statement Is the right lung really missing? Can only one lung breathe normally? Our reporter immediately contacted an expert in thoracic surgery in Guangzhou and an expert in respiratory medicine in the provincial hospital, and arranged Ms Huang to take her child to Fuzhou for treatment On August 30, Ms Huang and her uncle Mr Wu came to Fuzhou with their daughter As a result of continuous fever, Shanshan, 10, looks very thin and small Although she no longer has a fever, she still coughs occasionally Immediately, the reporter took them to Fuzhou Pulmonary Hospital and found the director of respiratory department, Wen Heng Congenital absence of lung? Lung tumor? Family members are worried that "there are many children with similar conditions in the outpatient department They have congenital lung deficiency, and there are other factors that cause the chest radiograph to show no lung." Director Wen has seen Shanshan's examination report and said that the normal chest film is black The reason why the lung turns white is that there is no air in the lung and it becomes a solid alveolus, so there is no way to take the outline of the lung in the imaging examination So, congenital lack of lung, may not be found until the age of 10? In response, Director Wen said, it's also possible that only one lung is enough to breathe, but a little older, it can't, and there may be problems such as shoulder tilt He suggested that Shanshan should go to the Department of Pediatrics of the lung hospital When Ms Huang and Mr Wu were looking for pediatrics, Mr Wu received a call from a large hospital in the south, which made him soft "The respiratory physician at the hospital read the examination report and said it might be a lung tumor." It turned out that Mr Wu not only took his niece to the Pulmonary Hospital, but also passed the examination results to a large hospital in the south for doctors to check The news made the family uneasy, but after entering pediatrics and finding director Ruan Yan, director Ruan easily said that the possibility of pneumonia was greater after reading the examination report As for Mr Wu's lung tumor, he said with a smile that adults are different from children This symptom may appear to adults to be tumor and tuberculosis, but children may be lung infection It turned out that pneumonia caused the disappearance of the lung in the subsequent treatment, which also proved director Ruan's judgment After effective treatment, Shanshan's condition improved significantly and she was discharged from the hospital several days ago Director Ruan said that most of the lung shadows are seen in lung inflammation, but some of them are tuberculosis and tumor patients At that time, from the local CT images taken by the patients, if the vascular shadow is found in adults after enhanced CT, the possibility of tumor is generally considered, followed by tuberculosis, and finally inflammation But children are just the opposite of adults Tumors are relatively rare in children Therefore, for children, the first consideration is inflammation, the second is tuberculosis, and the last is tumor Director Ruan introduced that the secretion in Shanshan's lumen blocked the airway and the inflammatory exudation caused by her own alveoli, which led to the "disappearance" of the right lung in the chest film, and the final diagnosis was pneumonia and mycoplasma infection "It is not uncommon for patients with lung 'disappearance' like Shanshan in the clinic Some patients are not pneumonia, but foreign bodies in the trachea, such as peanuts, melon seeds, orange seeds, grape seeds, which block the airway and cause inflammation." Director Ruan said.