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左支气管异构症合并支气管软化,表现为顽固性喘息。

Left bronchial isomerism associated with bronchomalacia, presenting with intractable wheeze.

作者信息

Lee P, Bush A, Warner J O

机构信息

Department of Paediatric, National Heart and Lung Institute, London.

出版信息

Thorax. 1991 Jun;46(6):459-61. doi: 10.1136/thx.46.6.459.

DOI:10.1136/thx.46.6.459
PMID:1858089
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC463199/
Abstract

The cause of the Williams Campbell syndrome (bronchomalacia with bronchiectasis) is controversial. A boy with bronchomalacia, bifid ribs, and left bronchial isomerism presented with intractable wheeze mimicking asthma. The combination of the abdominal, bronchial, and atrial anatomy seen in this child has been described only once previously. The coexistence of these congenital abnormalities in this boy supports a congenital cause for the Williams Campbell syndrome. The need to assess wheezy children critically is emphasised.

摘要

威廉姆斯·坎贝尔综合征(伴有支气管扩张的支气管软化症)的病因存在争议。一名患有支气管软化症、肋骨分叉和左支气管异构的男孩出现了类似哮喘的顽固性喘息。此前仅见过一次该患儿腹部、支气管和心房解剖结构的这种组合。这个男孩中这些先天性异常的共存支持了威廉姆斯·坎贝尔综合征的先天性病因。强调了对喘息儿童进行严格评估的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5708/463199/890f8d749e49/thorax00354-0060-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5708/463199/890f8d749e49/thorax00354-0060-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5708/463199/890f8d749e49/thorax00354-0060-a.jpg

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1
Left bronchial isomerism associated with bronchomalacia, presenting with intractable wheeze.左支气管异构症合并支气管软化,表现为顽固性喘息。
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Medicine (Baltimore). 2020 May 29;99(22):e20246. doi: 10.1097/MD.0000000000020246.
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The clinical manifestations, diagnosis and management of williams-campbell syndrome.威廉姆斯-坎贝尔综合征的临床表现、诊断与治疗
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Bronchial isomerism in a Kabuki syndrome patient with a novel mutation in MLL2 gene.

本文引用的文献

1
Generalized bronchiectasis associated with deficiency of cartilage in the bronchial tree.与支气管树软骨缺乏相关的广泛性支气管扩张。
Arch Dis Child. 1960 Apr;35(180):182-91. doi: 10.1136/adc.35.180.182.
2
Use of high kilovoltage filtered beam radiographs for detection of bronchial situs in infants and young children.使用高千伏过滤束射线照片检测婴幼儿支气管位置。
Br Heart J. 1980 Nov;44(5):577-83. doi: 10.1136/hrt.44.5.577.
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Does the lung work? 6. Pictures in the mind.
Br J Dis Chest. 1983 Jan;77(1):35-50.
Kabuki 综合征患者支气管异构,MLL2 基因突变。
BMC Med Genet. 2014 Jan 28;15:15. doi: 10.1186/1471-2350-15-15.
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Severe bronchiectasis.严重支气管扩张症
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Generalized bronchiectasis due to extensive deficiency of bronchial cartilage.由于支气管软骨广泛缺乏导致的广泛性支气管扩张。
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Case report. Generalized familial bronchomalacia.病例报告。全身性家族性支气管软化症。
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Sequential chamber localization--logical approach to diagnosis in congenital heart disease.序贯心腔定位——先天性心脏病诊断的逻辑方法
Br Heart J. 1976 Apr;38(4):327-40. doi: 10.1136/hrt.38.4.327.
8
Probable familial congenital bronchiectasis due to cartilage deficiency (Williams-Campbell syndrome).可能因软骨缺乏导致的家族性先天性支气管扩张症(威廉姆斯 - 坎贝尔综合征)。
Am Rev Respir Dis. 1976 Jul;114(1):15-22. doi: 10.1164/arrd.1976.114.1.15.
9
How to determine atrial situs? Considerations initiated by 3 cases of absent spleen with a discordant anatomy between bronchi and atria.如何确定心房位置?由3例无脾且支气管与心房解剖结构不一致的病例引发的思考。
Br Heart J. 1979 May;41(5):559-67. doi: 10.1136/hrt.41.5.559.