DePopas Eric M, Veress Livia A, Ahmed Farres, Rausch Christopher M, Annam Aparna, Gupta Rajan
Department of Radiology, University of Colorado, Denver, Colorado.
Department of Pediatric Pulmonology, University of Colorado, Denver, Colorado.
Pediatr Pulmonol. 2017 Nov;52(11):E97-E101. doi: 10.1002/ppul.23793. Epub 2017 Sep 4.
Plastic bronchitis is a life-threatening condition of airway obstructive cast formation. This pediatric case series from a high altitude center details the course of three patients after percutaneous thoracic duct interventions for refractory plastic bronchitis, with a follow-up interval of 3.5 years. In two patients, where cisterna chyli maceration (patients 2) or thoracic duct embolization (patient 3) was performed, a sustained clinical improvement is shown, with no subsequent cast recurrence. In patient 1, cisterna chyli maceration resulted in partial improvement. Herein, a favorable outcome is shown in pediatric patients with percutaneous thoracic duct interventions for plastic bronchitis at altitude.
塑料支气管炎是一种危及生命的气道阻塞性铸型形成疾病。这个来自高海拔中心的儿科病例系列详细介绍了3例难治性塑料支气管炎患者经皮胸导管介入治疗后的病程，随访间隔为3.5年。在2例患者中，分别进行了乳糜池浸软术（患者2）或胸导管栓塞术（患者3），均显示出持续的临床改善，且后续没有铸型复发。在患者1中，乳糜池浸软术仅带来了部分改善。本文表明，高海拔地区的儿科塑料支气管炎患者经皮胸导管介入治疗可取得良好疗效。
