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一名患有支气管肺发育不良的成年患者出现非典型远端气管纤维桥和支气管狭窄。

Atypical distal tracheal fibrous bridge and bronchial stenosis in an adult patient with bronchopulmonary dysplasia.

作者信息

Wadiwala Ishaq J, Yu Lee-Mateus Alejandra, Alhayek Bakr, Abia-Trujillo David, Chadha Ryan, Hazelett Britney N, Fernandez-Bussy Sebastian

机构信息

Department of Cardiovascular and Thoracic Surgery Mayo Clinic Jacksonville Florida USA.

Division of Pulmonary, Allergy, and Sleep Medicine Mayo Clinic Jacksonville Florida USA.

出版信息

Respirol Case Rep. 2023 Aug 16;11(9):e01203. doi: 10.1002/rcr2.1203. eCollection 2023 Sep.

Abstract

Tracheobronchial stenosis (TBS) in adults derives from congenital and acquired conditions, including prolonged mechanical intubation, expiratory central airway collapse, infectious or inflammatory disease, and malignancy. The most common clinical presentation is shortness of breath, recurrent infections, and chronic cough. TBS is usually diagnosed via computed tomography or bronchoscopy, with the latter doubling as a therapeutic tool. We present a case of an atypical fibrotic bridge connecting the walls of the distal trachea and fibrotic bronchial stenosis treated with electrocautery knife and balloon dilation, in an adult patient with bronchopulmonary dysplasia.

摘要

成人气管支气管狭窄(TBS)源于先天性和后天性疾病,包括长期机械通气、呼气性中央气道塌陷、感染性或炎症性疾病以及恶性肿瘤。最常见的临床表现为气短、反复感染和慢性咳嗽。TBS通常通过计算机断层扫描或支气管镜检查进行诊断,后者还可作为一种治疗工具。我们报告了一例患有支气管肺发育不良的成年患者,其远端气管壁与纤维化支气管狭窄之间存在非典型纤维桥,采用电灼刀和球囊扩张进行治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d141/10427834/a4f07fea37a6/RCR2-11-e01203-g002.jpg

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