Suppr超能文献

[支气管肺前肠畸形的临床特征]

[Clinical characteristics of bronchopulmonary foregut malformation].

作者信息

Liu J, Yin J, Liu X Y, Hu Y H, Ma X L, Zhang R, Zeng Q, Xu B P, Shen K L

机构信息

Department of Respiratory Medicine, Beijing Children's Hospital Affiliated to Capital Medical University, China National Clinical Specialty of Pediatric Respiratory Medicine, China National Clinical Research Center for Respiratory Diseases, Beijing 100045, China.

出版信息

Zhonghua Er Ke Za Zhi. 2017 Aug 2;55(8):628-631. doi: 10.3760/cma.j.issn.0578-1310.2017.08.016.

Abstract

To analyze the clinical characteristics, diagnosis and treatment of bronchopulmonary foregut malformation(BPFM). The clinical manifestations, imaging findings and treatment of 8 patients with BPFM were analyzed retrospectively from January 2006 to May 2016 in Beijing Children's Hospital. The age of children varied from 2 months to 7 years and 3 children were male while 5 female. Symptoms showed cough in 6 cases, fever in 4 cases, bucking when intaking of fluids or foods in 3 cases, tachypnea in 1 case, wheezing in 1 case, vomiting in 1 case, haematemesis in 1 case Pulmonary signs were decreased breath sounds in 4 cases, phlegm rale in 3 cases, shortness of breath in 2 cases, wheeze in 1 case, and retraction in 1 case. The upper gastrointestinal series showed abnormal fistulous tracts arising from the esophagus or the gastric fundus and extending into the mass in the lung. CT showed pulmonary sequestration and prompted the tube between lung and esophagus. Six children underwent pneumonectomy and esophageal fistula repair. They were discharged and their symptoms were improved. Two cases of children were discharged from a hospital without surgery. Bronchopulmonary foregut malformation usually has its onset in early stage of life. The most common symptoms include recurrent pneumonia or bucking when intaking of fluids or foods. CT can demonstrate the bronchopulmonary sequestration and evaluate the communication with the gastrointestinal tract. The upper gastrointestinal series can demonstrate the abnormal tract directly. Pneumonectomy and esophageal fistula repair are the treatment of this disease.

摘要

分析支气管肺前肠畸形(BPFM)的临床特征、诊断及治疗。回顾性分析2006年1月至2016年5月在北京儿童医院收治的8例BPFM患儿的临床表现、影像学表现及治疗情况。患儿年龄2个月至7岁,男3例,女5例。症状表现为咳嗽6例,发热4例,进食或饮水时呛咳3例,呼吸急促1例,喘息1例,呕吐1例,咯血1例。肺部体征表现为呼吸音减弱4例,痰鸣音3例,气促2例,喘息1例,吸气三凹征1例。上消化道造影显示食管或胃底有异常瘘管延伸至肺部肿块内。CT显示肺隔离症并提示肺与食管之间有管道相连。6例患儿行肺切除术及食管瘘修补术,术后均治愈出院,症状改善。2例患儿未手术出院。支气管肺前肠畸形通常在生命早期发病,最常见的症状为反复肺炎或进食、饮水时呛咳。CT可显示肺隔离症并评估其与胃肠道的连通情况。上消化道造影可直接显示异常管道。肺切除术及食管瘘修补术是本病的治疗方法。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验