Zhu Huihui, Lv Fangfang, Xu Ming, Wen Shunhang, Zheng Yangming, Zhang Hailin
Department of Pediatric Pulmonology, The Second Affiliated Hospital & Yuying Children's Hospital, Wenzhou Medical University, Wenzhou, China.
Front Pediatr. 2021 Feb 11;9:587342. doi: 10.3389/fped.2021.587342. eCollection 2021.
Bronchial artery-pulmonary artery fistula secondary to pulmonary tuberculosis is an important cause of hemoptysis in adults, but it's relatively rare in children. Bronchial artery-pulmonary artery fistulas are mostly congenital in children and may have no clinical manifestations in the early stage. Congenital bronchial artery-pulmonary fistula with pulmonary tuberculosis can lead to hemoptysis. From 2016 to 2020, two children with pulmonary tuberculosis complicated with bronchial artery and pulmonary artery fistula were admitted and treated in our hospital. We reminded pediatricians to pay attention to a variety of etiology combined with the possibility of children's hemoptysis.
继发于肺结核的支气管动脉-肺动脉瘘是成人咯血的重要原因，但在儿童中相对少见。儿童支气管动脉-肺动脉瘘大多为先天性，早期可能无临床表现。先天性支气管动脉-肺瘘合并肺结核可导致咯血。2016年至2020年，我院收治并治疗了2例肺结核合并支气管动脉与肺动脉瘘的患儿。我们提醒儿科医生注意多种病因合并儿童咯血的可能性。
