临床儿科杂志
臨床兒科雜誌
림상인과잡지
2014年
3期
242-245
,共4页
支气管桥%肺动脉吊带%多层螺旋CT%超声心动图%反复喘息%婴幼儿
支氣管橋%肺動脈弔帶%多層螺鏇CT%超聲心動圖%反複喘息%嬰幼兒
지기관교%폐동맥조대%다층라선CT%초성심동도%반복천식%영유인
bridging bronchus%pulmonary artery sling%multi-slice spiral CT%ultrasonic cardiogram%recurrent wheezing%infant
目的：探讨儿童支气管桥畸形及其合并肺动脉吊带的临床诊治。方法回顾性分析21例确诊为支气管桥畸形或同时合并肺动脉吊带畸形患儿的临床资料和超声心动图，多层螺旋CT胸部平扫、增强及气道重组图像影像学表现。结果21例患儿中有10例为单纯的支气管桥，其中3例合并其他类型先天性心脏病；11例为支气管桥合并肺动脉吊带，其中8例合并其他类型先天性心脏病。年龄除1例外均<2岁。大多以反复呼吸道感染及阵发性呼吸困难起病。根据Wells法分为I型15例、Ⅱ型6例。其中单纯支气管桥10例均为I型，5例合并肺动脉吊带；Ⅱ型6例均合并肺动脉吊带。结论对于临床上有反复呼吸道感染的婴幼儿，应警惕支气管桥畸形可能，并注意合并肺动脉吊带。多层螺旋CT胸部平扫、增强及气道重建图像是诊断该疾病的重要方法。
目的：探討兒童支氣管橋畸形及其閤併肺動脈弔帶的臨床診治。方法迴顧性分析21例確診為支氣管橋畸形或同時閤併肺動脈弔帶畸形患兒的臨床資料和超聲心動圖，多層螺鏇CT胸部平掃、增彊及氣道重組圖像影像學錶現。結果21例患兒中有10例為單純的支氣管橋，其中3例閤併其他類型先天性心髒病；11例為支氣管橋閤併肺動脈弔帶，其中8例閤併其他類型先天性心髒病。年齡除1例外均<2歲。大多以反複呼吸道感染及陣髮性呼吸睏難起病。根據Wells法分為I型15例、Ⅱ型6例。其中單純支氣管橋10例均為I型，5例閤併肺動脈弔帶；Ⅱ型6例均閤併肺動脈弔帶。結論對于臨床上有反複呼吸道感染的嬰幼兒，應警惕支氣管橋畸形可能，併註意閤併肺動脈弔帶。多層螺鏇CT胸部平掃、增彊及氣道重建圖像是診斷該疾病的重要方法。
목적：탐토인동지기관교기형급기합병폐동맥조대적림상진치。방법회고성분석21례학진위지기관교기형혹동시합병폐동맥조대기형환인적림상자료화초성심동도，다층라선CT흉부평소、증강급기도중조도상영상학표현。결과21례환인중유10례위단순적지기관교，기중3례합병기타류형선천성심장병；11례위지기관교합병폐동맥조대，기중8례합병기타류형선천성심장병。년령제1예외균<2세。대다이반복호흡도감염급진발성호흡곤난기병。근거Wells법분위I형15례、Ⅱ형6례。기중단순지기관교10례균위I형，5례합병폐동맥조대；Ⅱ형6례균합병폐동맥조대。결론대우림상상유반복호흡도감염적영유인，응경척지기관교기형가능，병주의합병폐동맥조대。다층라선CT흉부평소、증강급기도중건도상시진단해질병적중요방법。
Objective To explore the clinical diagnosis and treatment of pediatric bridging bronchus deformity and brid-ging bronchus with pulmonary artery sling. Methods The clinical data of the 21 cases of diagnosed bronchial bridge deformity and bronchial bridge with pulmonary artery sling, the imaging findings of all the echocardiography, MSCT chest scan, enhanced CT and reconstructive image were retrospectively analyzed. Results In 21 cases, 10 were diagnosed as bronchial bridge only, among which three cases had other types of congenital heart disease;11 cases were diagnosed of pulmonary artery sling with pulmonary artery sling, among which 8 cases had other types of congenital heart disease;their average age of the 8 cases were all younger than 2 years old, except one case;most of them had the symptoms of recurrent respiratory tract infections and parox-ysmal dyspnea. According to Wells, bronchial bridge was divided into type I and typeⅡ;15 cases were type I, 6 cases were typeⅡ, 10 patients with bronchial bridge only were all type I, 5 cases of typeⅡwere associated with pulmonary artery sling. All of the 6 cases were diagnosed as typeⅡassociated with pulmonary artery sling. Conclusions Infants and young children with clini-cal recurrent respiratory tract infections should be considered the possibility of bronchus bridge deformity, and should be paid more attention to the possibility of pulmonary artery sling. MSCT plain chest scan, enhanced CT and airway reconstructive im-age are the important ways to diagnose the disease.
