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    "titulo" => "Enfisema lobar cong&#233;nito com apresenta&#231;&#227;o neonatal&#46; Revis&#227;o de quatro casos cl&#237;nicos"
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        "titulo" => "Congenital lobar emphysema of the newborn&#46; Report of four clinical cases"
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        "titulo" => "Resumo"
        "resumen" => "<span class="elsevierStyleSectionTitle">Introdu&#231;&#227;o</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">O enfisema lobar cong&#233;nito &#40;ELC&#41; &#233; uma anomalia rara do desenvolvimento pulmonar e a apresenta&#231;&#227;o neonatal ocorre em cerca de 50&#37; dos casos&#46; Os autores apresentam quatro casos cl&#237;nicos de ELC no rec&#233;m-nascido&#46;</p> <span class="elsevierStyleSectionTitle">Casos cl&#237;nicos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Quatro rec&#233;m-nascidos de termo&#44; 3M&#47;1F&#44; admitidos por dificuldade respirat&#243;ria com in&#237;cio vari&#225;vel entre as 20 horas e os 18 dias de vida&#44; apresentaram radiografia de t&#243;rax na admiss&#227;o sugestiva de ELC&#44; diagn&#243;stico confirmado por tomografia axial computorizada&#46; O ELC afectou o lobo superior direito em tr&#234;s casos e o lobo m&#233;dio em um caso&#46; Foi efectuada lobectomia nos quatro rec&#233;m-nascidos&#46; O estudo anatomopatol&#243;gico das pe&#231;as operat&#243;rias confirmou o diagn&#243;stico nos quatro casos&#44; tendo revelado hipoplasia da cartilagem da &#225;rvore br&#244;nquica em tr&#234;s&#46;</p> <span class="elsevierStyleSectionTitle">Conclus&#227;o</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A casu&#237;stica est&#225; de acordo com a literatura no predom&#237;nio no sexo masculino&#44; forma de apresenta&#231;&#227;o&#44; tempo vari&#225;vel at&#233; ao diagn&#243;stico&#44; envolvimento unilobar e n&#227;o identifica&#231;&#227;o de causa evidente num dos casos&#46; O tratamento cir&#250;rgico foi universal&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Congenital lobar emphysema &#40;CLE&#41; is a rare anomaly of lung development that presents in the neonatal period in about 50&#37; of the cases&#46; The authors report four clinical cases of congenital lobar emphysema in the newborn&#46;</p> <span class="elsevierStyleSectionTitle">Clinical cases</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Four term newborns&#44; 3M&#47; 1F&#44; were admitted for respiratory distress starting between 20 hours of life and 18 days&#46; The chest x-ray at admission was suggestive of CLE and the diagnosis was confirmed by computorized tomography&#46; The CLE affected the right upper lobe in three cases and the medium lobe in one case&#46; All patients were treated with lobectomy&#46; The pathological study of the surgical specimens confirmed the diagnosis in the four cases&#44; and revealed hypoplasia of the bronquiolar tree cartilage in three&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Our series is according to literature regarding to male gender preponderance&#44; clinical presentation&#44; different time to diagnosis&#44; unilobar involvement and no identification of an evident aetiology in one case&#46; Surgical treatment was universal&#46;</p>"
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