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这是一只鸟，这是一架飞机，这是一条静脉：一名患有气管软化症的儿科患者的颈静脉静脉扩张症。

It's a Bird, It's a Plane, It's a Vein: Jugular Vein Phlebectasia in a Pediatric Patient With Tracheomalacia.

作者信息

Afzal Muhammad, Mohamed Alaa, Volkin Yakov

机构信息

Medical School, St. George's University School of Medicine, St. George's, GRD.

Pediatrics, Icahn School of Medicine at Mount Sinai, Elmhurst Hospital Center, Elmhurst, USA.

出版信息

Cureus. 2023 Jul 31;15(7):e42746. doi: 10.7759/cureus.42746. eCollection 2023 Jul.

DOI:10.7759/cureus.42746
PMID:37654952
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10467607/
Abstract

Jugular vein phlebectasia is seen in the first decade of life and carries a high chance of misdiagnosis as it can often be mistaken for other conditions observed in pediatric populations. High clinical suspicion along with radiological studies can help to confirm the diagnosis. Treatment is usually conservative, with surgery reserved for unique circumstances. This is the first case to be reported with concomitant tracheomalacia and a history of tracheoesophageal fistula repair in a pediatric patient with external jugular vein phlebectasia.

摘要

颈静脉扩张症在儿童期的第一个十年即可出现，由于它常常被误诊为儿科人群中观察到的其他病症，因此误诊几率很高。高度的临床怀疑加上影像学检查有助于确诊。治疗通常是保守的，手术仅用于特殊情况。这是首例报道的患有颈外静脉扩张症的儿科患者同时伴有气管软化和气管食管瘘修复病史的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91ed/10467607/5f47ea453a2b/cureus-0015-00000042746-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91ed/10467607/ef129a8671e5/cureus-0015-00000042746-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91ed/10467607/5f47ea453a2b/cureus-0015-00000042746-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91ed/10467607/ef129a8671e5/cureus-0015-00000042746-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91ed/10467607/5f47ea453a2b/cureus-0015-00000042746-i02.jpg

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本文引用的文献

1
Paediatric primary cough headache with internal jugular phlebectasia.小儿原发性咳嗽性头痛伴颈内静脉静脉瘤。
BMJ Case Rep. 2021 Jun 24;14(6):e242590. doi: 10.1136/bcr-2021-242590.
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The louder the bigger: A case of jugular phlebectasia in a child.声音越大，肿物越大：一例儿童颈静脉扩张症
Malays Fam Physician. 2019 Dec 31;14(3):77-79. eCollection 2019.
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Internal jugular phlebectasia: A systematic review.颈内静脉扩张症：一项系统评价。
Surg Neurol Int. 2019 Jun 19;10:106. doi: 10.25259/SNI-217-2019. eCollection 2019.
4
Phlebectasia of Internal Jugular Vein- A Rare Differential Case of Neck Swelling With Review of Literature.颈内静脉静脉扩张症——颈部肿胀的罕见鉴别病例并文献复习
Iran J Otorhinolaryngol. 2019 Jul;31(105):239-242.
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Pediatric jugular vein aneurysm (phlebectasia): report of two cases and review of the literature.小儿颈静脉瘤（静脉扩张症）：两例报告并文献复习
Radiol Case Rep. 2017 Jan 30;12(2):391-395. doi: 10.1016/j.radcr.2016.12.003. eCollection 2017 Jun.
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Unusual Presentation of a Cervical Mass Revealed as External Jugular Venous Aneurysm.颈部肿块的罕见表现为颈外静脉动脉瘤。
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