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[血管环。儿科呼吸内镜科28例患者系列研究]

[Vascular rings. Series of 28 patients of a Pediatrie Respiratory Endoscopy Department].

作者信息

Bordino Lucas, Penida Fabricio, Scatolinio María L, Cocciaglia Alejandro, Botto Hugo A, Rodríguez Hugo A

机构信息

Endoscopia Respiratoria del Hospital "Prof. Dr. Juan P. Garrahan", Ciudad Autónoma de Buenos Aires, Argentina.

出版信息

Arch Argent Pediatr. 2019 Aug 1;117(4):e393-e398. doi: 10.5546/aap.2019.e393.

Abstract

Vascular rings account for 1 % of the congenital cardiovascular diseases. They constitute an embryological malformation in which the aortic arch, its branches, or the pulmonary arteries cause pressure on the trachea and/or oesophagus. Anatomically, they are divided into two groups -complete or incomplete- depending on how they surround the trachea and/or the oesophagus. Symptom onset is usually in the first months of life with biphasic or expiratory stridor that increases with crying and feeding, a metallic tracheal cough, recurrent respiratory infections, episodes of apnea and cyanosis, wheezing, cervical hyperextension, sternal and intercostal retraction, and feeding difficulties. A retrospective analysis of 28 patients with vascular rings seen at the Department of Respiratory Endoscopy at Garrahan Paediatric Hospital between January 2015 and September 2017 is presented.

摘要

血管环占先天性心血管疾病的1%。它们是一种胚胎发育畸形,其中主动脉弓、其分支或肺动脉会对气管和/或食管造成压迫。从解剖学角度来看,根据它们对气管和/或食管的环绕方式,可分为两组——完全型或不完全型。症状通常在生命的最初几个月出现,表现为双相或呼气性喘鸣,哭闹和进食时加重,伴有金属样气管咳嗽、反复呼吸道感染、呼吸暂停和发绀发作、喘息、颈部过度伸展、胸骨和肋间凹陷以及进食困难。本文呈现了对2015年1月至2017年9月期间在加拉汉儿科医院呼吸内镜科就诊的28例血管环患者的回顾性分析。

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