Adham M, Chappuis J P, Floret D, Bouvier R, Cottin X
Service de chirurgie pédiatrique, Hôpital E Herriot, Lyon, France.
Pediatrie. 1992;47(1):41-4.
A 17 day-old neonate with no history of broncho-pulmonary disease presented with a severe respiratory distress which was found to be related to a congenital tracheal diverticulum. An excision of the diverticulum was performed. Histologically it was characterized by a lining wall of stratified columnar ciliated epithelium and the presence of smooth muscle and cartilage in the wall. This rare entity was reported only once in the pediatric literature. It gives a history of chronic respiratory tract infections or acute respiratory distress. Bronchoscopy or bronchography and CT scan are necessary for the diagnosis. The treatment is surgical.
一名17天大、无支气管肺部疾病史的新生儿出现严重呼吸窘迫,经检查发现与先天性气管憩室有关。对憩室进行了切除。组织学上,其特征为分层柱状纤毛上皮的衬里壁以及壁内存在平滑肌和软骨。这种罕见的病症在儿科文献中仅被报道过一次。它会有慢性呼吸道感染或急性呼吸窘迫的病史。支气管镜检查、支气管造影和CT扫描对诊断很有必要。治疗方法为手术治疗。