摘要
目的探讨儿童气管性支气管的诊断、分类和气道管理。方法对住院临床有喘息的9例患儿进行了胸部CT气道三维重建检查,其中5例进行了纤维支气管镜检查。结果胸部CT气道三维重建9例中发现7例存在气管性支气管,纤维支气管镜检查5例全部发现存在气管性支气管,包括2例胸部CT气道三维重建结果阴性的患儿。同时还发现了伴有的其他气道异常,包括气管或支气管狭窄、会厌软化和声门麻痹。结论儿童气管性支气管的发现带有偶然性,支气管镜检查是诊断的"金标准"。若同时伴有先天性心脏病,应加强监护,早期手术根治可提高存活率。在对有气管性支气管的患儿进行气管插管和单肺通气时,应加强气道管理。
Objective To study diagnose, classification and airway management of tracheal bronchus in children. Methods Nine children with wheezing were examined by chest CT scanning（three-dimensional air- way reconstruction） and 5 children underwent fiberoptic bronchoscopy. Results According to chest CT scan-ning of three-dimensional airway reconstruction, seven of the rune children were found to suffer from tracheal bronchus. Fiberobronchoscopic examination confirmed that all the five children hadt racheal bronchus including 2 children with negative result of chest CT scanning of three-dimensional airway reconstruction. At the same time, we detected other airway abnormalities including trachea or bronchus stenosis, epiglottis malacoma and glottis paralysis. Conclusion Tracheal bronchus was usually found by a chanceo Bronchoscopic examination is the gold standard for diagnosis. If a child is associated with congenital heart diseases, intensive care and surgical repair in time are usually necessary for achieving higher survival rate. A child with tracheal bronchus usually needs tracheal intubation or one-lung ventilation, thus airway management should be focused on.
出处
《中国小儿急救医学》
CAS
2007年第5期403-406,共4页
Chinese Pediatric Emergency Medicine
关键词
气管性支气管
支气管镜检查
先天性心脏病
儿童
Tracheal bronchus
Bronchoscopic examination
Congenital heart diseases
Children
