Cairns-Bazarian A M, Conway E E, Yankelowitz S
Department of Pediatrics, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York 10467.
Pediatr Emerg Care. 1992 Dec;8(6):335-7.
This case illustrates an unusual cause of respiratory distress in the pediatric population. A high degree of suspicion is necessary to make the diagnosis of plastic bronchitis. Wheezing and cough will lead to the diagnosis of reactive airway disease and/or foreign body aspiration. Chest radiographs may yield additional information, but the diagnosis is made by bronchoscopy and removal of the casts. Any child with severe respiratory distress refractory to aggressive conventional medical therapy and with a history or radiograph suggestive of plastic bronchitis should be considered a candidate for bronchoscopy. As clinicians, we must always remember the dictum, "All that wheezes is not asthma."
本病例说明了儿科人群中呼吸窘迫的一种不寻常病因。诊断塑料支气管炎需要高度怀疑。喘息和咳嗽会导致诊断为反应性气道疾病和/或异物吸入。胸部X光片可能会提供更多信息，但诊断是通过支气管镜检查和取出铸型来确定的。任何患有严重呼吸窘迫且对积极的传统药物治疗无效，并有塑料支气管炎病史或X光片提示的儿童，都应被视为支气管镜检查的候选对象。作为临床医生，我们必须始终牢记这句格言：“喘息者未必皆为哮喘。”
