CAJ | 학술논문

目的：提高对气管支气管结核并发广泛气管软骨环破坏的认识。方法患者，女，因“咳嗽、咳痰3个月，加重伴声嘶半个月，伴午后潮热、盗汗”于2013－08－22入院，诊断为继发性肺结核、气管支气管结核并发广泛气管软骨环破坏，分析患者的临床资料，并结合文献复习。结果患者临床表现为咳嗽、咳痰，伴声嘶、午后潮热、盗汗，支气管镜下见气管、左主支气管干酪样坏死物及气管软骨环广泛破坏，给予全身抗结核化疗联合经支气管镜下冷冻及气管内给药治疗，临床症状缓解，支气管镜下破坏软骨基本修复，软骨环无塌陷。结论气管软骨环破坏是气管支气管结核较为严重的类型，对软骨细胞有再生潜能的年轻患者，早期有效抗结核的同时，联合经支气管镜下冷冻及气管内给药治疗，气管软骨环可完全或部分修复。
목적：제고대기관지기관결핵병발엄범기관연골배파배적인식。방법환자，녀，인“해수、해담3개월，가중반성시반개월，반오후조열、도한”우2013－08－22입원，진단위계발성폐결핵、기관지기관결핵병발엄범기관연골배파배，분석환자적림상자료，병결합문헌복습。결과환자림상표현위해수、해담，반성시、오후조열、도한，지기관경하견기관、좌주지기관간락양배사물급기관연골배엄범파배，급여전신항결핵화료연합경지기관경하냉동급기관내급약치료，림상증상완해，지기관경하파배연골기본수복，연골배무탑함。결론기관연골배파배시기관지기관결핵교위엄중적류형，대연골세포유재생잠능적년경환자，조기유효항결핵적동시，연합경지기관경하냉동급기관내급약치료，기관연골배가완전혹부분수복。
Objective To improve the understanding of tracheobronchial tuberculosis ( TBTB ) complicated with extensive fracture of trachea cartilage ring.Methods The patient was female.She was admitted into the hospital on August 22, 2013 after three months′cough and expectoration , half month′s aggravation with hoarseness and also with afternoon hot flash and night sweat.She was diagnosed with secondary pulmonary tuberculosis and tracheobronchial tuberculosis complicated with extensive fracture of trachea cartilage ring.The clinical data of the patients were analyzed , and literature review was made.Results The clinical manifestations included cough , expectoration , hoarseness , afternoon hot flash , night sweat , caseous necrosis in trachea and left principal bronchus observed by bronchoscope and extensive fracture of trachea cartilage ring .The patient was treated by systemic anti -tuberculosis chemotherapy , frozen therapy under bronchoscope and drug administration within trachea.Through the treatment , the clinical symptoms were relieved , the fracture of trachea cartilage ring basically recovered , and no collapse occurred in cartilage ring.Conclusion The fractureof trachea cartilage ring is a serious type of tracheobronchial tuberculosis.For young patients who have potential in the regeneration of cartilage cells , besides effective antituberculous measures in the early stage , frozen therapy under bronchoscope and drug administration within trachea should also be conducted , so that trachea cartilage ring could partly or completely recover.