Murugasu E, Rothera M
Hope Hospital, University of Manchester, UK.
Ann Acad Med Singap. 1993 Nov;22(6):952-9.
Despite the tremendous health-care advances in recent years, external compression of the tracheobronchial tree by cardiovascular anomalies still remains a significant cause of morbidity and potential mortality in neonates and infants. As the initial presenting symptoms can be deceivingly mild, the diagnosis is easily missed without a high index of suspicion by the investigating clinician utilising the appropriate investigations. Four case studies are presented, (i) illustrating the importance of tracheobronchoscopy in assessing any neonate or infant with suspected airway obstruction; (ii) reviewing the current literature, and (iii) suggesting a comprehensive diagnostic approach by way of relevant investigations.
尽管近年来医疗保健取得了巨大进步,但心血管异常对气管支气管树的外部压迫仍然是新生儿和婴儿发病及潜在死亡的重要原因。由于最初出现的症状可能看似很轻微,如果调查医生没有高度怀疑并进行适当检查,很容易漏诊。本文介绍了四个病例研究,(i)说明气管支气管镜检查在评估任何疑似气道阻塞的新生儿或婴儿中的重要性;(ii)回顾当前文献;(iii)通过相关检查提出一种全面的诊断方法。