Conti Valentina, Calia Nunzio, Pasquini Claudio, Zardi Silvia, Finetti Cinzia, Stomeo Francesco, Ravenna Franco
Dipartmento di Emergenza, Azienda Ospedaliero-Universitaria Arcispecdale S. Anna, Ferrara.
Recenti Prog Med. 2013 Apr;104(4):156-8. doi: 10.1701/1271.14026.
We report a case of idiopathic tracheal stenosis in a 75-year-old woman, who presented to our observation with a diagnosis of asthmatic bronchitis characterized by cough and exertional dyspnea, later complicated by the appearance of tirage. Biopsy of the lesion showed focal squamous metaplasia of the epithelium lining, multiple sclerosis and chronic inflammatory infiltration of the corium. The patient was treated with endoscopic destruction via rigid bronchoscopy, through the combined action of YAG laser and mechanical debulking.
我们报告一例75岁女性特发性气管狭窄病例,该患者因咳嗽和劳力性呼吸困难被诊断为哮喘性支气管炎前来我院就诊,后来出现了喘鸣。病变活检显示内衬上皮的局灶性鳞状化生、真皮层多发性硬化和慢性炎性浸润。通过YAG激光和机械减容的联合作用,经硬质支气管镜对该患者进行了内镜下毁损治疗。