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青少年患者酷似空洞性肺结核的异物吸入:线丝吸入

An unusual case of foreign body aspiration mimicking cavitary tuberculosis in adolescent patient: thread aspiration.

机构信息

Bezmialem Vakif University, Medical Faculty, Department of Pediatric Pulmonology, Istanbul, Turkey.

出版信息

Ital J Pediatr. 2012 May 11;38:17. doi: 10.1186/1824-7288-38-17.

DOI:10.1186/1824-7288-38-17
PMID:22577799
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3453488/
Abstract

Foreign body aspiration continues to be a serious problem in childhood and adolescent period with significant rate of morbidity and rarely mortality. Half of the foreign body aspiration cases have no history of aspiration. The main foreign bodies inhaled are food fragments and different kinds of metallic objects. A 12-year-old girl was referred to the pediatric pulmonology department for chronic cough and hemoptysis. She had persistent infiltration and cavitary lesion mimicking cavitary tuberculosis. There was no contact history with tuberculosis in her family and acid resistant bacillus was not found in the sputum examination. Flexible bronchoscopy was performed for persistent infiltration and hemoptysis and inflamed thread was found in right lower lobe bronchus. This is the first case of thread inhalation mimicking cavitary tuberculosis in an adolescent patient.

摘要

异物吸入仍然是儿童和青少年时期的一个严重问题,发病率高,死亡率低。一半的异物吸入病例没有吸入史。吸入的主要异物是食物碎片和各种金属物体。一名 12 岁女孩因慢性咳嗽和咯血被转至儿科肺病科。她持续浸润和有空洞病变,类似于空洞性肺结核。她的家族没有肺结核接触史,痰检也未发现抗酸杆菌。由于持续浸润和咯血,进行了软性支气管镜检查,发现右下叶支气管有发炎的线。这是首例青少年患者线吸入模仿空洞性肺结核的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9a6/3453488/aec334ea766f/1824-7288-38-17-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9a6/3453488/8db5185eae96/1824-7288-38-17-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9a6/3453488/a9e64e7da7a7/1824-7288-38-17-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9a6/3453488/aec334ea766f/1824-7288-38-17-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9a6/3453488/8db5185eae96/1824-7288-38-17-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9a6/3453488/a9e64e7da7a7/1824-7288-38-17-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9a6/3453488/aec334ea766f/1824-7288-38-17-3.jpg

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本文引用的文献

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Foreign body aspiration in children: the value of diagnostic criteria.儿童异物吸入:诊断标准的价值
Int J Pediatr Otorhinolaryngol. 2009 Jul;73(7):963-7. doi: 10.1016/j.ijporl.2009.03.021. Epub 2009 Apr 24.
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Foreign body aspiration: an important etiology of respiratory symptoms in children.
J Allergy Clin Immunol. 2008 May;121(5):1297-8. doi: 10.1016/j.jaci.2008.03.014.
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Choking on pins, needles and a blowdart: aspiration of sharp, metallic foreign bodies secondary to careless behavior in seven adolescents.因别针、针头和飞镖窒息:7名青少年因粗心行为导致尖锐金属异物吸入
Int J Pediatr Otorhinolaryngol. 2007 Feb;71(2):307-10. doi: 10.1016/j.ijporl.2006.10.017. Epub 2006 Nov 29.
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Tracheobronchial foreign bodies in children: importance of accurate history and plain chest radiography in delayed presentation.儿童气管支气管异物:准确病史及胸部X线平片在延迟就诊中的重要性
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Foreign body aspiration: what is the outcome?异物吸入:结果如何?
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Foreign body aspiration in children: value of radiography and complications of bronchoscopy.儿童异物吸入:放射照相的价值及支气管镜检查的并发症
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