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先天性支气管-胆管瘘1例
引用本文:王琦,陈敏,靳蓉,孙永烽,徐慧,程星,吴炜,喻嘉. 先天性支气管-胆管瘘1例[J]. 中华实用儿科临床杂志, 2021, 0(1): 67-69
作者姓名:王琦  陈敏  靳蓉  孙永烽  徐慧  程星  吴炜  喻嘉
作者单位:贵阳市儿童医院呼吸科
基金项目:贵州省科技计划项目(黔科合LH(2015)7029号);贵阳市人才创新创业资助项目(筑人才办合同字(2015)第18号)。
摘    要:对2019年6月贵阳市儿童医院收治的1例先天性支气管-胆管瘘(CBBF)患儿的临床资料进行回顾性分析。患儿,女,7岁6个月,临床表现为咳嗽伴咳大量黄绿色黏痰,出生后反复肺部感染为主要临床表现,通过电子支气管镜发现瘘口后,与影像科、麻醉科、儿外科多学科协作,经治疗患儿康复出院。CBBF报道较少,针对儿童出生后即出现反复肺...

关 键 词:支气管-胆管瘘  支气管镜  难治性肺炎

Case report of congenital broncho-bile duct fistula
Wang Qi,Chen Min,Jin Rong,Sun Yongfeng,Xu Hui,Cheng Xing,Wu Wei,Yu Jia. Case report of congenital broncho-bile duct fistula[J]. Chinese Journal of Applied Clinical Pediatrics, 2021, 0(1): 67-69
Authors:Wang Qi  Chen Min  Jin Rong  Sun Yongfeng  Xu Hui  Cheng Xing  Wu Wei  Yu Jia
Affiliation:(Department of Respiratory,Guiyang Children′s Hospital,Guiyang 550003,China)
Abstract:To retrospectively analyze the clinical data of a child with congenital broncho-bile duct fistula(CBBF)in Guiyang Children′s Hospital in June 2019.A female,aged 7 years and 6 months old,patient presented cough with a large amount of yellow green mucus.The main clinical manifestation was recurrent pulmonary infection after birth.After the fistula was found by electronic bronchoscope,doctors cooperated with imaging department,anesthe-siology department and pediatric surgery department.After treatment,the child recovered and discharged.There are few reports on CBBF.This study suggested that,in view of the refractory pneumonia with recurrent pulmonary infection and yellow green sputum after birth,and that the effect of anti-infection treatment was poor,clinicians should pay attention to the CBBF,take bronchoscopy as soon as possible,and make early diagnosis by combining with imaging technology,thus formulating a reasonable diagnosis and treatment plan under multidisciplinary cooperation,so as to improve the diagnosis and treatment of this rare disease clinical diagnosis and treatment level,and reduce missed diagnosis and misdiagnosis as well.
Keywords:Broncho-bile duct fistula  Bronchoscope  Refractory pneumonia
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