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一名71岁单侧喘息男性:一个不寻常的病因。

A 71-year-old man with unilateral wheezing: an unusual cause.

作者信息

Bhatt Surya Prakash, Nanda Sudip, Kintzer John S

机构信息

Department of Internal Medicine, St Luke's Hospital, Bethlehem, Pennsylvania 18015, USA.

出版信息

Am J Med Sci. 2008 Mar;335(3):233-6. doi: 10.1097/MAJ.0b013e3180e902ff.

Abstract

We present an unusual case of a 71-year-old man with unilateral wheezing brought on by change in position. Isolated bronchomalacia in the absence of tracheal involvement occurs more commonly in children and in adults with emphysema, chronic bronchitis, extrinsic compression by tumors, compression by abnormal blood vessels or vascular rings, relapsing polychondritis, endotracheal intubation and mechanical ventilation, enlarged left atrium, trauma, and lung transplantation. Our patient had predominant unilateral bronchomalacia. In this report, we present the clinical features, review the literature, and describe the probable pathophysiology.

摘要

我们报告一例罕见病例,一名71岁男性因体位改变出现单侧哮鸣音。孤立性支气管软化在无气管受累的情况下更常见于儿童以及患有肺气肿、慢性支气管炎、肿瘤外压、异常血管或血管环压迫、复发性多软骨炎、气管插管和机械通气、左心房增大、创伤及肺移植的成人。我们的患者以单侧支气管软化为主。在本报告中,我们呈现临床特征、回顾文献并描述可能的病理生理学。

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