摘要
目的分析经纤维支气管镜诊断的先天性支气管狭窄的临床特点。方法回顾分析了2009年4月至2012年5月在深圳市儿童医院呼吸科确诊的18例先天性支气管狭窄患儿的临床资料。结果 18例患儿中仅3例为单纯气管狭窄,其余均合并有其他畸形,其中11例患儿合并有呼吸系统以外的畸形,以心血管畸形居首位。先天性支气管狭窄患儿主要表现为喘息,但严重的气管狭窄可出现呼吸困难、气管插管困难和气管插管拔管失败。结论先天性气管狭窄可伴多发畸形,以心血管畸形多见,需及时完善心血管方面的相关检查;对怀疑气管狭窄的可疑患儿,需及时行支气管镜检查明确诊断。
Objective To investigate the clinical features of 18 patients with congenital tracheal stenosis diagnosed by bronchoscope. Methods All patients diagnosis of congenital tracheal stenosis from Apirl 2009 to May 2012 in Shenzhen Children＇ s hospital were retrospectively analyzed. Results Only 3 of 18 patients were congenital tracheal stenosis alone. ALL of the other patients were associated with malformations. 11 among of them were with anomalies other than pulmonary malformations. Cardiovascular malformations were taken for first place. Stridor was the most common symptom of congenital tracheal stenosis. Difficult intubation, respiratory distress and failure to extubation suggested serious tracheal stenosis. Conc, lusion Congenital tracheal stenosis could be associated with multiple malformations. Cardiovascular malformations were most commom. Bronchoscope should be peformed early if the patient was suspected of congenital tracheal stenosis.
出处
《罕少疾病杂志》
2012年第4期1-3,共3页
Journal of Rare and Uncommon Diseases
