先天性会厌囊肿的临床表现及误诊分析
[Analysis of clinical manifestations and misdiagnosis of congenital vallecular cyst].
作者信息
Sun Changzhi, Luo Renzhong, Liu Dabo, Wen Ruijin, Huang Zhenyun, Chen Qian, Zhou Lifeng
机构信息
Department of Otolaryngology, Guangzhou Children's Hospital, Guangzhou 510120, China.
出版信息
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2008 Aug;22(15):697-8.
OBJECTIVE
To analyze the clinical manifestations and the cause of misdiagnosis of congenital vallecular cyst.
METHOD
Nineteen cases of congenital vallecular cysts were collected and reviewed retrospectively. Their clinical manifestations and diagnosis were analyzed.
RESULT
Their clinical manifestations included inspiratory stridor, respiratory distress, inspiratory dyspnea, feeding difficulty etc. Among 19 cases, 15 cases were misdiagnosed as neonate pneumonia (9 cases), bronchial pneumonia (5 cases), and laryngitis (1 case), respectively. All cases were diagnosed as congenital vallecular cysts by fibrolaryngoscope. The diagnosis was confirmed by pathological examination.
CONCLUSION
Congenital vallecular cyst is fairly uncommon. To cure these patients on time, early examination of upper airway is recommended for patients with inspiratory stridor and inspiratory dyspnea. Fibrolaryngoscope would be useful for diagnosis and timely treatment.
目的
分析先天性会厌囊肿的临床表现及误诊原因。
方法
回顾性收集19例先天性会厌囊肿病例，分析其临床表现及诊断情况。
结果
临床表现为吸气性喘鸣、呼吸窘迫、吸气性呼吸困难、喂养困难等。19例中，15例分别误诊为新生儿肺炎（9例）、支气管肺炎（5例）、喉炎（1例）。所有病例经纤维喉镜诊断为先天性会厌囊肿，病理检查确诊。
结论
先天性会厌囊肿较为少见。为及时治愈患者，建议对有吸气性喘鸣和吸气性呼吸困难的患者尽早进行上呼吸道检查。纤维喉镜有助于诊断和及时治疗。
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