Adolph W, Hottenrott B
Medizinischen Klinik, des Maxim-Zetkin-Krankenhauses Nordhausen.
Z Gesamte Inn Med. 1988 Nov 1;43(21):622-4.
On the basis of a casuistics is referred to the infrequent tracheobronchomegaly with disturbed respiratory mechanics (tracheal collapse) and relapsing bronchitides due to a congenital or acquired loss of elasticity of trachea and main bronchi. Bronchoscopy and bronchography ascertain the diagnosis which may be supposed already on the full-size X-ray by the demonstration of an abnormally wide trachea. The conservative therapy of the in most cases mucopurulent bronchitis for the purpose of the prevention of a global respiratory insufficiency apart from mucolytics often demands the application of antibiotics. In individual cases the prognosis may be improved by stabilizing operative corrections of the trachea and the resection treatment of accompanying bronchiectases.
基于案例分析,罕见的气管支气管扩张合并呼吸力学紊乱(气管塌陷)以及由于先天性或后天性气管和主支气管弹性丧失导致的复发性支气管炎被提及。支气管镜检查和支气管造影可确诊,在全尺寸X线片上通过显示气管异常增宽可能已可推测该诊断。除黏液溶解剂外,为预防全身性呼吸功能不全,针对多数病例的黏液脓性支气管炎进行的保守治疗通常需要使用抗生素。在个别情况下,通过气管的稳定手术矫正及伴随支气管扩张的切除治疗,预后可能会得到改善。