Wu Xi-Ling, Wu Lei, Chen Zhi-Min
Department of 'A', The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China.
Case Rep Med. 2019 Dec 28;2019:4143120. doi: 10.1155/2019/4143120. eCollection 2019.
Obstructive foreign bodies are uncommon causes of bronchiectasis in children, the causal relationship between foreign body aspiration and bronchiectasis remains unclear. We conducted a review of children who were diagnosed with bronchiectasis due to foreign body retention in a university hospital between 2014 and 2019. Five patents were studied (four boys, one girl; age range: 15 months to 13 years old). Computed tomography showed localized cylindrical bronchiectasis in all five patients. After removal of the foreign body by bronchoscopy, the prognoses were good. Patients with localized cylindrical bronchiectasis should be examined to exclude foreign body. As long as foreign body aspiration is diagnosed early and appropriately removed, the possibility of a lobectomy or even mortality is greatly reduced.
阻塞性异物是儿童支气管扩张症的罕见病因，异物吸入与支气管扩张症之间的因果关系仍不明确。我们回顾了2014年至2019年期间在一所大学医院因异物存留而被诊断为支气管扩张症的儿童病例。共研究了5例患者（4名男孩，1名女孩；年龄范围：15个月至13岁）。计算机断层扫描显示所有5例患者均有局限性柱状支气管扩张。经支气管镜取出异物后，预后良好。对于局限性柱状支气管扩张的患者，应进行检查以排除异物。只要早期诊断出异物吸入并适当取出，进行肺叶切除甚至死亡的可能性就会大大降低。
