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肺泡毛细血管发育不良合并声门下狭窄。

Alveolar capillary dysplasia complicated by subglottic stenosis.

机构信息

Center for Postgraduate, Education and Training, National Center for Child Health and Development, Tokyo, Japan.

Neonatology, National Center for Child Health and Development, Setagaya-ku, Japan

出版信息

BMJ Case Rep. 2024 Sep 12;17(9):e261004. doi: 10.1136/bcr-2024-261004.

Abstract

Alveolar capillary dysplasia with misalignment of pulmonary veins (ACDMPV) is an interstitial lung disease. In ACDMPV, respiratory impairment with severe pulmonary hypertension occurs from the early hours of life. Anomalies in the cardiovascular, gastrointestinal and genitourinary systems have been reported. However, little is known about upper airway abnormalities. We encountered a genetically diagnosed ACDMPV infant who presented with subglottic and bronchial stenosis. The prenatal diagnosis was hypoplastic left heart syndrome. Her respiratory condition worsened at 16 hours of life. We found subglottic stenosis when intubating. She died on day 7. Autopsy imaging with CT scan showed bilateral main bronchial stenosis. Chromosomal microarray revealed a 531 kb deletion in chromosome 16q24.1, including .

摘要

肺泡毛细血管发育不良伴肺静脉异位(ACDMPV)是一种间质性肺疾病。在 ACDMPV 中,呼吸功能障碍和严重的肺动脉高压会在生命早期出现。已经报道了心血管、胃肠道和泌尿生殖系统的异常。然而,对于上呼吸道异常知之甚少。我们遇到了一名基因诊断为 ACDMPV 的婴儿,她表现为声门下和支气管狭窄。产前诊断为左心发育不全综合征。她在 16 小时大时呼吸状况恶化。我们在插管时发现了声门下狭窄。她在第 7 天死亡。尸检 CT 扫描显示双侧主支气管狭窄。染色体微阵列显示 16q24.1 号染色体上有 531kb 的缺失,包括

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