儿童气管性支气管20例临床分析

目的分析经支气管镜检查诊断的气管性支气管患儿的临床特征。方法回顾分析20例接受支气管镜检查而确诊的气管性支气管患儿的镜下结果、临床表现、治疗与转归。结果先天性气管性支气管患儿20例,右侧气管性支气管19例,移位型18例,其中6例为2种或2种以上气道异常;左侧气管性支气管1例,为移位型。20例患儿的临床症状包括持续或反复的喘息,持续性局限性肺炎、肺不张,局限性肺气肿。大部分患儿经临床对症治疗后症状缓解。结论气管性支气管异常在临床上并不少见,其临床表现为治疗反应不佳的反复喘息、肺炎、肺不张以及肺气肿等,对可疑患儿应及时进行支气管镜检查以明确诊断。

Clinical of tracheal bronchus in 20 children

Objective To investigate the clinical features in 20 patients diagnosed with tracheal bronchus by bronchoscope.Methods Clinical manifestation,diagnosis and treatment of the 20 patients receiving diagnostic bronchoscope procedures and diagnosed of tracheal bronchus were retrospectively analyzed.All procedures were performed under general intravenous anesthesia.Results Totally 20 patients were identified as having tracheal bronchus,among whom 19 patients were right tracheal bronchus,18 patients were shift type and 6 patients had more than two types of tracheo bronchial anomalies.Difficult-to-control wheeze,localized persistent pneumonia,atelectasis,localized hyperinflation were the most common symptoms in the patients with tracheal bronchus.The symptoms in most of the patients were relieved through the symptomatic treatment.Conclusions Tracheal bronchus is not unusual in pediatric patients,and its clinical features were difficult-to-control wheeze,localized persistent pneumonia,atelectasis,localized hyperinflation.The bronchoscopy should be performed early in the suspected patients for definite diagnosis.