Krishnasarma Rekha, Green Golan Mackintosh Liza, Bynum Francine
Department of Pediatrics at the Children's Hospital of Los Angeles, Los Angeles, CA, USA.
Case Rep Pediatr. 2016;2016:8475917. doi: 10.1155/2016/8475917. Epub 2016 Sep 18.
Many children who are admitted to pediatric hospitals with the chief complaint of apparent life-threatening event (ALTE) are, in fact, well appearing by the time the inpatient medical team evaluates the patient. This presents a diagnostic and therapeutic challenge. We describe a case of a six-month-old full-term female presenting with an ALTE and found to have a double aortic arch, a congenital anomaly that usually presents with a more progressive onset of symptoms such as chronic cough, positional stridor, and feeding difficulties. This case highlights the importance of maintaining a broad differential in a patient presenting with findings of tracheoesophageal pathology on clinical exam.
许多因明显危及生命事件（ALTE）为主诉而入住儿科医院的儿童，实际上在住院医疗团队评估患者时看起来情况良好。这带来了诊断和治疗上的挑战。我们描述了一例6个月大的足月女婴，她因ALTE就诊，结果发现患有双主动脉弓，这是一种先天性异常，通常表现为症状逐渐加重，如慢性咳嗽、体位性喘鸣和喂养困难。该病例强调了对于临床检查有气管食管病变表现的患者保持广泛鉴别诊断的重要性。
