Division of Respiratory Medicine, Department of Pediatrics, The Hospital for Sick Children, Toronto, Ontario, Canada.
Division of Cardiology, Department of Pediatrics, The Hospital for Sick Children, Toronto, Ontario, Canada.
Pediatr Pulmonol. 2020 Apr;55(4):E1-E2. doi: 10.1002/ppul.24695. Epub 2020 Feb 18.
Plastic bronchitis (PB) is characterized by the formation of bronchial casts. It most frequently occurs in children with congenital heart disease, particularly post-Fontan procedure. Several medical and surgical therapies have been described in the literature with variable success. To our knowledge, this is the first time that overnight use of home high-flow nasal cannula is reported as a therapy to prevent recurrence of bronchial cast production in a child with PB post-Fontan.
塑料性支气管炎（PB）的特征是形成支气管铸型。它最常发生在患有先天性心脏病的儿童中，尤其是在 Fontan 手术后。文献中已经描述了几种医疗和手术治疗方法，但成功率不一。据我们所知，这是首例报道使用家用高流量鼻导管进行隔夜治疗，以预防 Fontan 术后 PB 患儿支气管铸型再次生成的病例。
