因未被诊断出的先天性气管蹼导致的困难插管

Difficult intubation due to undiagnosed congenital tracheal web.

作者信息

Al Badaai Yahya, Nguyen Lily H P

机构信息

Department of Otolaryngology-Head and Neck surgery, Montreal Children's Hospital, McGill University, Quebec, Canada.

出版信息

Int J Pediatr Otorhinolaryngol. 2008 Sep;72(9):1437-9. doi: 10.1016/j.ijporl.2008.05.021. Epub 2008 Jul 15.

DOI:10.1016/j.ijporl.2008.05.021

PMID:18632166

Abstract

Congenital tracheal web is a rare anomaly, usually misdiagnosed as asthma or chronic obstructive lung diseases. Clinical suspicion and appropriate diagnostic imaging combined with endoscopic examinations are the mainstay approach. Symptoms of stridor, dyspnea and recurrent lower airway infections are the most common clinical presentations. We report a case of difficult intubation in a child due to an undiagnosed congenital tracheal web.

摘要

先天性气管蹼是一种罕见的异常情况，通常被误诊为哮喘或慢性阻塞性肺疾病。临床怀疑并结合适当的诊断性影像学检查和内镜检查是主要的诊断方法。喘鸣、呼吸困难和反复下呼吸道感染是最常见的临床表现。我们报告一例因未被诊断出的先天性气管蹼导致儿童插管困难的病例。