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一名患有致密性骨发育不全症患者上气道梗阻合并肺心病的影像学研究。

Radiographic studies of upper airway obstruction with cor pulmonale in a patient with pycnodysostosis.

作者信息

Yousefzadeh D K, Agha A S, Reinertson J

出版信息

Pediatr Radiol. 1979 Feb 26;8(1):45-7. doi: 10.1007/BF00973678.

DOI:10.1007/BF00973678
PMID:431992
Abstract

The purpose of this article is to present radiographic aspects of obstructive anatomical alterations of the upper airway before and during sleep in a 4 1/2-year-old boy affected with pycnodysostosis. The striking length of the uvula and the inspiration-exspiration changes in its position was an important factor in the obstruction of the upper airway. For better and earlier understanding of the actual mechanism of upper airway obstruction, the radiological data should be obtained during the same circumstances that the patient is experiencing his maximum discomfort.

摘要

本文旨在呈现一名患有致密性骨发育不全的4岁半男孩在睡眠前和睡眠期间上呼吸道阻塞性解剖改变的影像学特征。悬雍垂显著的长度及其在吸气和呼气时位置的变化是上呼吸道阻塞的一个重要因素。为了更好、更早地理解上呼吸道阻塞的实际机制,应在患者经历最大不适的相同情况下获取放射学数据。

相似文献

1
Radiographic studies of upper airway obstruction with cor pulmonale in a patient with pycnodysostosis.一名患有致密性骨发育不全症患者上气道梗阻合并肺心病的影像学研究。
Pediatr Radiol. 1979 Feb 26;8(1):45-7. doi: 10.1007/BF00973678.
2
Cor pulmonale and acute liver necrosis, due to upper airway obstruction as part of pycnodysostosis.肺源性心脏病和急性肝坏死,由作为致密性骨发育不全一部分的上呼吸道梗阻引起。
Eur J Pediatr. 1984 Feb;141(4):251-3. doi: 10.1007/BF00572773.
3
Upper airway obstruction resulting in cor pulmonale.上气道梗阻导致肺源性心脏病。
J Ky Med Assoc. 1978 May;76(5):223-6.
4
[Cor pulmonale caused by hypertrophic adenoid glands and tonsils: indications for tonsillectomy and adenoidectomy in a 2-year-old child].[肥大性腺样体和扁桃体所致肺源性心脏病:一名2岁儿童扁桃体切除术和腺样体切除术的指征]
Srp Arh Celok Lek. 2000 May-Jun;128(5-6):208-10.
5
[A case of chronic cor pulmonale due to obstruction of the upper airways in a child].[一例儿童上气道阻塞所致慢性肺源性心脏病病例]
Tunis Med. 1974 Jan-Feb;52(1):5-9.
6
Pycnodysostosis. Case report.致密性骨发育不全。病例报告。
Int Orthop. 1988;12(3):261-3. doi: 10.1007/BF00547174.
7
[Use of radiocinematography in the diagnosis of chronic cor pulmonale].[放射性电影摄影术在慢性肺源性心脏病诊断中的应用]
Bratisl Lek Listy. 1971 Sep 3;56(3):319-26.
8
Cor pulmonale and pulmonary edema in children secondary to chronic upper airway obstruction.
Radiology. 1968 Apr;90(4):679-82. doi: 10.1148/90.4.679.
9
[Upper airway obstruction and chronic cor pulmonale].
An Esp Pediatr. 1982 Sep;17(3):218-22.
10
Alveolar hypoventilation and cor pulmonale associated with chronic airway obstruction in infants with Down syndrome.
Clin Pediatr (Phila). 1982 Jan;21(1):25-9. doi: 10.1177/000992288202100104.

引用本文的文献

1
Pycnodysostosis with extreme sleep apnea: a possible alternative to tracheotomy.骨硬化性发育不良伴严重睡眠呼吸暂停:气管切开术的一种可能替代方法。
Sleep Breath. 2012 Mar;16(1):5-10. doi: 10.1007/s11325-010-0479-4. Epub 2011 Jan 14.
2
Cor pulmonale and acute liver necrosis, due to upper airway obstruction as part of pycnodysostosis.肺源性心脏病和急性肝坏死,由作为致密性骨发育不全一部分的上呼吸道梗阻引起。
Eur J Pediatr. 1984 Feb;141(4):251-3. doi: 10.1007/BF00572773.
3
Radiologic evaluation of adenoids and tonsils in children with obstructive sleep apnea: plain films and fluoroscopy.

本文引用的文献

1
Chronic nasopharyngeal obstruction as a cause of cardiomegaly, cor pulmonale, and pulmonary edema.慢性鼻咽部阻塞作为心脏肥大、肺心病和肺水肿的病因
Pediatrics. 1966 May;37(5):762-8.
2
Pycnodysostosis. Six cases with new symptoms and an autopsy.
Acta Paediatr Scand. 1974 May;63(3):437-42. doi: 10.1111/j.1651-2227.1974.tb04824.x.
3
Cor pulmonale in the Pierre Robin syndrome.皮埃尔·罗宾综合征中的肺源性心脏病。
Arch Dis Child. 1974 Nov;49(11):905-8. doi: 10.1136/adc.49.11.905.
阻塞性睡眠呼吸暂停患儿腺样体和扁桃体的放射学评估:平片与透视检查
Pediatr Radiol. 1983;13(5):258-65. doi: 10.1007/BF00973342.