中外健康文摘
中外健康文摘
중외건강문적
WORLD HEALTH DIGEST
2014年
27期
224-224
,共1页
先天性气管发育异常%气管狭窄%儿童
先天性氣管髮育異常%氣管狹窄%兒童
선천성기관발육이상%기관협착%인동
临床中遇一反复咳嗽伴喘息患儿，自出生后即开始发病，生后至就诊每年至少反复2-3次，多不伴发热，多次普通胸片及肺CT均提示肺炎表现。曾按哮喘治疗疗效欠佳。就诊我科查气管三维成像提示气管发育异常。由此提示，对临床不明原因反复咳喘、呼吸困难或常规治疗疗效欠佳的患儿，尤其是起病较早的患儿，应注意除外先天性气管发育异常。需常规行气道三维成像或纤支镜检查，以免漏诊、误诊。
臨床中遇一反複咳嗽伴喘息患兒，自齣生後即開始髮病，生後至就診每年至少反複2-3次，多不伴髮熱，多次普通胸片及肺CT均提示肺炎錶現。曾按哮喘治療療效欠佳。就診我科查氣管三維成像提示氣管髮育異常。由此提示，對臨床不明原因反複咳喘、呼吸睏難或常規治療療效欠佳的患兒，尤其是起病較早的患兒，應註意除外先天性氣管髮育異常。需常規行氣道三維成像或纖支鏡檢查，以免漏診、誤診。
림상중우일반복해수반천식환인，자출생후즉개시발병，생후지취진매년지소반복2-3차，다불반발열，다차보통흉편급폐CT균제시폐염표현。증안효천치료료효흠가。취진아과사기관삼유성상제시기관발육이상。유차제시，대림상불명원인반복해천、호흡곤난혹상규치료료효흠가적환인，우기시기병교조적환인，응주의제외선천성기관발육이상。수상규행기도삼유성상혹섬지경검사，이면루진、오진。
In the clinical encounter a children with cough associated with breathing repeatedly, since after onset, born to see a doctor after repeated 2-3 times every year, more is not associated with fever, many ordinary chest radiograph and lung CT performance tip pneumonia.According to the asthma treatment curative effect is poor.I, the doctor trachea 3 d imaging tip dysplasia.This tip, to clinical unexplained recurrent cough, difficulty breathing, or conventional treating poor curative effect of children, especial y for children with early onset of except congenital tracheal developmental anomalies should be paid attention to.Need regular line or bronchoscopy airway three-dimensional imaging lens check, in order to avoid missed diagnosis and misdiagnosis.
