| 儿童先天性完全性气管环的临床及诊治特点 |
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| 引用本文： | 张静,殷勇,张磊,王薇.儿童先天性完全性气管环的临床及诊治特点[J].临床儿科杂志,2011,29(2). |
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| 作者姓名： | 张静 殷勇 张磊 王薇 |
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| 作者单位： | 上海交通大学医学院附属上海儿童医学中心呼吸科,上海,200127 |
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| 摘 要： | 目的探讨儿童先天性完全性气管环(CCTR)的临床及诊治特点。方法 2008年1月—2009年12月628例支气管镜检查患儿中诊断CCTR 18例,随访7～27个月,对其临床特点、影像学表现、镜下特征、治疗及转归进行综合分析。结果 18例中15例表现为反复咳喘,1例为气管插管困难,2例为术后撤机困难。CCTR多位于气管的中下部,合并支气管桥畸形时CCTR位于左主支气管。所有病例均经支气管镜检查确诊。治疗及转归:4例行气管成形术,3例死亡,1例预后好;3例行球囊扩张术,2例术后喘息改善;11例未对CCTR进行处理,6例预后好,2例仍反复喘息,3例死亡。结论 CCTR多表现为反复咳喘。支气管镜是诊断CCTR的金标准,对球囊扩张术有部分治疗作用,需根据临床情况选择适当的治疗方式及手术时机。
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| 关 键 词： | 先天性完全性气管环 支气管镜 诊断 治疗 儿童 |
Clinical features and management of congenital complete tracheal rings in children |
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| ZHANG Jing,YIN Yong,ZHANG Lei,WANG Wei.Clinical features and management of congenital complete tracheal rings in children[J].The Journal of Clinical Pediatrics,2011,29(2). |
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| Authors: | ZHANG Jing YIN Yong ZHANG Lei WANG Wei |
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| Institution: | ZHANG Jing,YIN Yong,ZHANG Lei,WANG Wei(Department of Pediatric Pulmonology,Shanghai Children's Medical Center Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai 200127,China) |
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| Abstract: | Objective To explore the clinical features,diagnostic criteria and treatment of congenital complete tracheal rings(CCTR)in children.Methods Among 628 patients examined by bronchoscopy from Jan 2008 to Dec 2009,18 cases were confirmed to have CCTR.They were observed for two to twenty-seven months and their clinical characteristics,examinations,airway lesion,treatment and prognosis were collected and analyzed.Results Fifteen cases had recurrent or prolonged wheezing and dyspnea,1 case failed intubation,2 case... |
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| Keywords: | congenital complete tracheal rings bronchoscopy diagnosis treatment children |
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