一名9岁男孩复发性膜性气管狭窄并伴有憩室。并非所有喘息症状都是哮喘。

Recurrent membranous tracheal stenosis with a diverticulum in a 9-year-old boy. Not all that wheezes is asthma.

作者信息

Kopriva Frantisek, Kolek Vitezslav

机构信息

Department of Pediatrics, University Hospital Olomouc and Faculty of Medicine and Dentistry, Palacky University Olomouc, Czech Republic.

Department of Respiratory Medicine, University Hospital Olomouc and Faculty of Medicine and Dentistry, Palacky University Olomouc, Czech Republic.

出版信息

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2016 Mar;160(1):168-70. doi: 10.5507/bp.2016.009. Epub 2016 Feb 29.

DOI:10.5507/bp.2016.009

PMID:26927469

Abstract

BACKGROUND

Benign tracheobronchial stenosis of the proximal airways may result from a variety of conditions and can cause dyspnea, cough, wheeze or stridor.

METHODS AND RESULTS

In this report, we describe the case of a 9-year-old boy who was admitted to hospital with wheezing and progressive dyspnea lasting for six months. These abnormalities were diagnosed by multislice CT with 3-dimensional reconstruction of the trachea and by videobronchoscopy which demonstrated severe tracheal stenosis and an orifice of a tracheal diverticulum on the right side of the upper trachea. The stenosis was dilated with a balloon and vaporized with an Nd:YAG laser. Due to recurrent stenosis, the laser procedure had to be repeated several times in an approximately 4-6-month interval.

CONCLUSION

Association between recurrent membranous tracheal stenosis and a tracheal diverticulum is a rare medical condition.

摘要

背景

近端气道的良性气管支气管狭窄可能由多种情况引起，并可导致呼吸困难、咳嗽、喘息或喘鸣。

方法与结果

在本报告中，我们描述了一名9岁男孩的病例，他因喘息和进行性呼吸困难入院，症状持续了6个月。通过多层螺旋CT气管三维重建和视频支气管镜检查确诊了这些异常，检查显示严重的气管狭窄以及气管上段右侧的一个气管憩室开口。狭窄部位先用球囊扩张，再用钕钇铝石榴石激光汽化。由于狭窄复发，激光手术必须每隔约4 - 6个月重复进行几次。